Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01538 | Date 30/04/2020 |
| Token No | SM/22-23/5477 20/12/2022 | Serial | 023 |
| Patient Name | Mr. SHUKUR MALLIK | Contact No | 7045569444 |
| Address | 24 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 58 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||