Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06082 | Date 19/01/2024 |
| Token No | SM/22-23/17632 19/01/2024 | Serial | 020 |
| Patient Name | Mr. TAPAN KUMAR DEY | Contact No | 9433572419 |
| Address | 27 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 77 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||