Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06037 | Date 09/01/2024 |
| Token No | SM/22-23/17334 09/01/2024 | Serial | 011 |
| Patient Name | Mr. BAHADUR RAY | Contact No | 9088355792 |
| Address | 30/A SANIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 70 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||