Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03449 | Date 19/12/2022 |
| Token No | SM/22-23/9094 26/05/2023 | Serial | 016 |
| Patient Name | Mr. PRADIP CHANDA | Contact No | 9883992027 |
| Address | 12/A DULE PARA LANE MALLICKPARA SERAMPORE 712203 | Age | 55 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||