Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03599 | Date 13/01/2023 |
| Token No | SM/22-23/6063 13/01/2023 | Serial | 016 |
| Patient Name | Mr. SK KABIL | Contact No | 8100587927 |
| Address | 88/A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 50 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||