Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03668 | Date 30/01/2023 |
| Token No | SM/22-23/18945 22/02/2024 | Serial | 047 |
| Patient Name | Mr. BARUN DEBNATH | Contact No | |
| Address | MALLICKPARA SERAMPORE 712203 | Age | 37 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||