Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06526 | Date 03/04/2024 |
| Token No | SM/24-25/20500 03/04/2024 | Serial | 052 |
| Patient Name | Mr. ABHIJIT GHOSH | Contact No | 9903167562 |
| Address | 39/A/1 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 18 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 93 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||