Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07862 | Date 06/09/2024 |
| Token No | SM/24-25/27821 06/09/2024 | Serial | 029 |
| Patient Name | Mr. SOUMEN DAS | Contact No | 9836429954 |
| Address | 113/B G T ROAD MALLICKPARA SERAMPORE 712203 | Age | 62 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||