Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01787 | Date 01/06/2022 |
| Token No | SM/22-23/7163 02/03/2023 | Serial | 004 |
| Patient Name | Mr. ABHOY DEBNATH | Contact No | 9230164904 |
| Address | 11 DULEYPARA LANE SERAMPORE 712203 | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||