Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02110 | Date 30/06/2022 |
| Token No | SM/22-23/1027 30/06/2022 | Serial | 041 |
| Patient Name | Mr. SUVANKAR MONDAL | Contact No | 9836875790 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 18 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||