Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03310 | Date 05/12/2022 |
| Token No | SM/22-23/8796 13/05/2023 | Serial | 003 |
| Patient Name | Mr. RABIN DAS | Contact No | 9163452140 |
| Address | 10/J HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 57 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||