Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01883 | Date 10/06/2022 |
| Token No | SM/22-23/4509 18/11/2022 | Serial | 002 |
| Patient Name | Mr. MRITUYANJAY DUTTA | Contact No | 8900325322 |
| Address | ICHHAPUR GOPINAGAR HOOGHLY 712402 | Age | 87 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||