Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03363 | Date 09/12/2022 |
| Token No | SM/22-23/5132 09/12/2022 | Serial | 015 |
| Patient Name | Mr. JOYDEB GHOSH | Contact No | 9831355073 |
| Address | 21/A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 52 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||