Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02284 | Date 20/07/2022 |
| Token No | SM/22-23/1487 20/07/2022 | Serial | 024 |
| Patient Name | Mr. BIJOY DAS | Contact No | 8981739929 |
| Address | GHORAMARA P MALLICKPARA SERAMPORE 712203 | Age | 32 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||