Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02502 | Date 22/08/2022 |
| Token No | SM/22-23/2151 22/08/2022 | Serial | 005 |
| Patient Name | Mr. ALOK MUKHERJEE | Contact No | 8274009985 |
| Address | BIBIRBER GHORAMARA P MALLICKPARA SERAMPORE 712203 | Age | 58 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||