Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04455 | Date 06/07/2023 |
| Token No | SM/24-25/24818 10/07/2024 | Serial | 052 |
| Patient Name | Mr. AMIT DAS | Contact No | 9875698865 |
| Address | 101/E G T ROAD WEST SERAMPORE 712203 | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||