Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 01804 | Date 01/06/2022 |
| Token No | SM/22-23/750 22/06/2022 | Serial | 050 |
| Patient Name | Mr. SUBRATA MUKHERJEE | Contact No | 8910377352 |
| Address | 22/B MIYAJAN DARJEE LANE MALLICKPARA SERAMPORE 712203 | Age | 65 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||