Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00095 | Date 12/09/2019 |
| Token No | SM/22-23/5309 14/12/2022 | Serial | 055 |
| Patient Name | Mr. PINTU DAS | Contact No | 8017835395 |
| Address | 50 G T ROAD MALLICKPARA SERAMPORE 712203 | Age | 39 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||