Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04069 | Date 21/04/2023 |
| Token No | SM/22-23/9715 19/06/2023 | Serial | 007 |
| Patient Name | Mr. AMULYA KUMAR BRAHMA | Contact No | 9681082290 |
| Address | 4B MALPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 73 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||