Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02125 | Date 04/07/2022 |
| Token No | SM/22-23/1051 04/07/2022 | Serial | 018 |
| Patient Name | Mr. MOHAN KUMAR MONDAL | Contact No | 6291817045 |
| Address | 25/A SANIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 47 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||