Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07160 | Date 26/06/2024 |
| Token No | SM/24-25/23816 26/06/2024 | Serial | 092 |
| Patient Name | Mr. ABHIJIT NATH | Contact No | 9088661935 |
| Address | 13 G T ROAD HUMOR BAGAN MALLICKPARA SERAMPORE 712203 | Age | 29 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||