Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02048 | Date 24/06/2022 |
| Token No | SM/22-23/845 24/06/2022 | Serial | 028 |
| Patient Name | Mr. ASHOKE KUMAR DAS | Contact No | 9748032752 |
| Address | 46 G T ROAD WEST SERAMPORE MALLICKPARA HOOGHLY 712203 | Age | 48 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||