Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03640 | Date 24/01/2023 |
| Token No | SM/22-23/6250 24/01/2023 | Serial | 019 |
| Patient Name | Mr. TARAK NATH | Contact No | 7003894122 |
| Address | 24/C TARAPUKUR LANE SERAMPORE 712203 | Age | 54 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||