Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02282 | Date 20/07/2022 |
| Token No | SM/22-23/11415 05/08/2023 | Serial | 032 |
| Patient Name | Mr. NARAYAN DUTTA | Contact No | 9748256289 |
| Address | 9/371/Q B B GHOSH ROAD MALLICKPARA SERAMPORE 712203 | Age | 58 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||