Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03033 | Date 02/11/2022 |
| Token No | SM/22-23/4564 19/11/2022 | Serial | 009 |
| Patient Name | Mr. PRIYANKAR DUTTA | Contact No | 9143080402 |
| Address | 10 DULEYPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 17 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||