Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02458 | Date 13/08/2022 |
| Token No | SM/22-23/2030 13/08/2022 | Serial | 007 |
| Patient Name | Mr. SAIFUDDIN MALLICK | Contact No | 9239566248 |
| Address | 17C TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||