Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02368 | Date 01/08/2022 |
| Token No | SM/22-23/1761 01/08/2022 | Serial | 041 |
| Patient Name | Mr. GOUR CHANDRA DAS | Contact No | 8017231033 |
| Address | 35 SANIPARA LANE SERAMPORE 712203 | Age | 76 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||