Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06977 | Date 11/06/2024 |
| Token No | SM/24-25/27415 31/08/2024 | Serial | 003 |
| Patient Name | Mr. SANAJIT CHAKRABORTY | Contact No | 8583896265 |
| Address | 32/D TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 33 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||