Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06973 | Date 11/06/2024 |
| Token No | SM/24-25/23020 11/06/2024 | Serial | 016 |
| Patient Name | Mr. SAILA CHAKRABORTY | Contact No | 8583896265 |
| Address | 32/D TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 61 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||