Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00019 | Date 06/09/2019 |
| Token No | SM/24-25/28193 12/09/2024 | Serial | 071 |
| Patient Name | Mr. ADITYA DAS | Contact No | 8481978503 |
| Address | 10/J HARIPARA LANE SERAMPORE 712203 | Age | 27 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||