Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08055 | Date 21/10/2024 |
| Token No | SM/24-25/31352 18/11/2024 | Serial | 079 |
| Patient Name | Mr. SUDIP SETT | Contact No | 8017858595 |
| Address | 35/A TARAPUKUR LANE SERAMPORE 712203 | Age | 33 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||