Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03345 | Date 08/12/2022 |
| Token No | SM/22-23/5081 08/12/2022 | Serial | 007 |
| Patient Name | Mr. WASIM AKRAM MALLICK | Contact No | 9330695402 |
| Address | 6 NO G T ROAD MALLICKPARA SERAMPORE 712203 | Age | 27 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||