Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03584 | Date 09/01/2023 |
| Token No | SM/22-23/8957 19/05/2023 | Serial | 002 |
| Patient Name | Mr. ANANDA PAL | Contact No | 9836655923 |
| Address | 2/A HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 70 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||