Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06756 | Date 10/05/2024 |
| Token No | SM/24-25/22025 16/05/2024 | Serial | 056 |
| Patient Name | Mr. ASHOKE PALIT | Contact No | 8013397656 |
| Address | 10/F HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 62 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||