Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03096 | Date 09/11/2022 |
| Token No | SM/22-23/4209 09/11/2022 | Serial | 044 |
| Patient Name | Mr. SANAT DAS | Contact No | 9007172647 |
| Address | 34A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 52 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||