Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01973 | Date 21/06/2022 |
| Token No | SM/22-23/669 21/06/2022 | Serial | 017 |
| Patient Name | Mr. TARAK GHOSH | Contact No | 8697156328 |
| Address | NABAGRAM GHOSHALPARA SERAMPORE HOOGHLY 712203 | Age | 65 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||