Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02547 | Date 25/08/2022 |
| Token No | SM/22-23/7875 28/03/2023 | Serial | 025 |
| Patient Name | Mr. SWAPAN KUMAR SAHA | Contact No | 9230496585 |
| Address | 20/C TARAPUKUR LANE SERAMPORE 712203 | Age | 65 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||