Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02218 | Date 14/07/2022 |
| Token No | SM/22-23/1308 14/07/2022 | Serial | 008 |
| Patient Name | Mr. MOHAMMAD MOIN | Contact No | 9060709320 |
| Address | DINEN BHATTACHARYA SARANI PRABASHNAGAR SERAMPORE 712203 | Age | 27 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||