Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02007 | Date 22/06/2022 |
| Token No | SM/22-23/751 22/06/2022 | Serial | 051 |
| Patient Name | Mr. SOURJAYDIP MUKHERJEE | Contact No | 8910377352 |
| Address | 22/B MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 28 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||