Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 01671 | Date 25/05/2022 |
| Token No | SM/22-23/5583 23/12/2022 | Serial | 020 |
| Patient Name | Mr. PRADIP KUMAR GHOSH | Contact No | 9051755864 |
| Address | 75 MALLICKPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 67 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||