Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06544 | Date 08/04/2024 |
| Token No | SM/25-26/4212 01/07/2025 | Serial | 027 |
| Patient Name | Mr. NETAI GHORUI | Contact No | 9830111076 |
| Address | 29/C G T ROAD WEST MALLICKPARA SERAMPORE 712203 | Age | 53 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||