Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07209 | Date 28/06/2024 |
| Token No | SM/24-25/32093 02/12/2024 | Serial | 011 |
| Patient Name | Mr. SANTOSH KUMAR SAH | Contact No | 8481047538 |
| Address | 10/B HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 36 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||