Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03387 | Date 12/12/2022 |
| Token No | SM/22-23/6320 28/01/2023 | Serial | 026 |
| Patient Name | Mr. SANDIP DEY | Contact No | 9007504561 |
| Address | GHORAMARA P MALLICKPARA SERAMPORE 712203 | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||