Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08170 | Date 08/11/2024 |
| Token No | SM/24-25/30766 08/11/2024 | Serial | 045 |
| Patient Name | Mr. KANCHAN SADHUKHAN | Contact No | 7003966994 |
| Address | 41 TARAPUKUR LANE SERAMPORE 712203 | Age | 51 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||