Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03928 | Date 14/03/2023 |
| Token No | SM/22-23/7523 14/03/2023 | Serial | 007 |
| Patient Name | Mr. PRIYA RANJAN BISWAS | Contact No | 8296077962 |
| Address | 14/A HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 54 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||