Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03159 | Date 16/11/2022 |
| Token No | SM/22-23/4465 16/11/2022 | Serial | 034 |
| Patient Name | Mr. SK RAJU | Contact No | 7003669624 |
| Address | 7 NO TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 25 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 82 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||