Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03070 | Date 07/11/2022 |
| Token No | SM/22-23/4117 07/11/2022 | Serial | 016 |
| Patient Name | Mr. HARI SHARMA | Contact No | 9007084096 |
| Address | 105 G T ROAD WEST MALLICKPARA SERAMPORE 712203 | Age | 73 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||