Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07856 | Date 06/09/2024 |
| Token No | SM/24-25/27815 06/09/2024 | Serial | 023 |
| Patient Name | Mr. DILIP KUMAR BISWAS | Contact No | 9330961347 |
| Address | 104/A G T ROAD WEST MALLICKPARA SERAMPORE 712203 | Age | 72 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||