Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03160 | Date 16/11/2022 |
| Token No | SM/22-23/4466 16/11/2022 | Serial | 035 |
| Patient Name | Mr. SOUMALYA SARKAR | Contact No | 9123806372 |
| Address | 23/A G T ROAD SERAMPORE 712203 | Age | 20 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||