Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01739 | Date 30/05/2022 |
| Token No | SM/22-23/212 30/05/2022 | Serial | 010 |
| Patient Name | Mr. SK ASGAR | Contact No | 7602445932 |
| Address | 7 NO TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 34 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||