Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03631 | Date 20/01/2023 |
| Token No | SM/22-23/6353 30/01/2023 | Serial | 017 |
| Patient Name | Mr. NANDA KUMAR SHUILY | Contact No | 9748043705 |
| Address | SERAMPORE | Age | 64 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||