Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02471 | Date 17/08/2022 |
| Token No | SM/22-23/2076 17/08/2022 | Serial | 020 |
| Patient Name | Mr. RABI DAS | Contact No | 8420146082 |
| Address | 25B SANIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 59 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||