Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03356 | Date 08/12/2022 |
| Token No | SM/22-23/5109 08/12/2022 | Serial | 035 |
| Patient Name | Mr. SUBHASH ROY | Contact No | 8617869543 |
| Address | 10/B HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 20 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||