Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01383 | Date 09/04/2020 |
| Token No | SM/24-25/28935 30/09/2024 | Serial | 033 |
| Patient Name | Mr. ARUN ROY | Contact No | 9007784413 |
| Address | 3 HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 54 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||