Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07814 | Date 03/09/2024 |
| Token No | SM/24-25/27609 03/09/2024 | Serial | 061 |
| Patient Name | Mr. PATRIOT SADHUKHAN | Contact No | 7003966994 |
| Address | 41 TARAPUKUR LANE SERAMPORE 712203 | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||