Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 01947 | Date 17/06/2022 |
| Token No | SM/22-23/3241 30/09/2022 | Serial | 058 |
| Patient Name | Mr. TAPAN BARAT | Contact No | 9007667201 |
| Address | 673 G T ROAD SERAMPORE 712203 | Age | 65 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||