Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03140 | Date 14/11/2022 |
| Token No | SM/22-23/4488 17/11/2022 | Serial | 011 |
| Patient Name | Mr. KAUSHIK MISHRA | Contact No | 9874328489 |
| Address | 1 HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 19 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||