Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 01876 | Date 10/06/2022 |
| Token No | SM/22-23/8034 06/04/2023 | Serial | 033 |
| Patient Name | Mr. AMAL SARKAR | Contact No | 8777868648 |
| Address | 24H FIRINGI DANGA ROAD MALLICKPARA SERAMPORE 712203 | Age | 74 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||