Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02072 | Date 27/06/2022 |
| Token No | SM/22-23/914 27/06/2022 | Serial | 048 |
| Patient Name | Mr. MD ANIS | Contact No | 6291811825 |
| Address | 24/B TARAPUKUR LANE SEARAMPORE HOOGHLY 712203 | Age | 10 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||