Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02491 | Date 20/08/2022 |
| Token No | SM/22-23/2131 20/08/2022 | Serial | 002 |
| Patient Name | Mr. KASHINATH DAS | Contact No | 8902800293 |
| Address | 8A DOCTOR B R AMBEDKAR LANE SERAMPORE 712203 | Age | 67 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||