Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02219 | Date 14/07/2022 |
| Token No | SM/22-23/1311 14/07/2022 | Serial | 011 |
| Patient Name | Mr. SURENDER SHAH | Contact No | 9899871969 |
| Address | DINEN BHATTACHARYA SARANI PRABASHNAGAR SERAMPORE 712203 | Age | 26 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||