Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07202 | Date 28/06/2024 |
| Token No | SM/24-25/26958 21/08/2024 | Serial | 060 |
| Patient Name | Mr. PUSKAR GHORUI | Contact No | 9830111076 |
| Address | 29/C G T ROAD WEST MALLICKPARA SERAMPORE 712203 | Age | 21 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||