Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03963 | Date 20/03/2023 |
| Token No | SM/22-23/9664 16/06/2023 | Serial | 031 |
| Patient Name | Mr. SURAJIT CHATTERJEE | Contact No | 8017394376 |
| Address | 4/A HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 66 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||