Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08426 | Date 21/12/2024 |
| Token No | SM/24-25/33049 21/12/2024 | Serial | 006 |
| Patient Name | Mr. SUSANTA SADHUKHAN | Contact No | |
| Address | 26 SANIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||