Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04663 | Date 31/07/2023 |
| Token No | SM/22-23/11214 01/08/2023 | Serial | 055 |
| Patient Name | Mr. DEBOJIT DHARA | Contact No | 9836680565 |
| Address | 100 NEW MAHESH SERAMPORE 712203 | Age | 18 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||