Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07223 | Date 28/06/2024 |
| Token No | SM/24-25/23979 28/06/2024 | Serial | 063 |
| Patient Name | Mr. PRITAM ROYCHOWDHURY | Contact No | |
| Address | 27 G T ROAD MALLICKPARA SERAMPORE 712203 | Age | 21 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||