Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07498 | Date 22/07/2024 |
| Token No | SM/24-25/26934 21/08/2024 | Serial | 036 |
| Patient Name | Mr. DEBASIS PATRA | Contact No | 9903315630 |
| Address | 19 SANIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 52 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||