Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02217 | Date 13/07/2022 |
| Token No | SM/22-23/1294 13/07/2022 | Serial | 048 |
| Patient Name | Mr. SOUMO SADHUKHAN | Contact No | 8981158171 |
| Address | 41 TARAPUKUR LANE SERAMPORE 712203 | Age | 22 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||