Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05124 | Date 12/09/2023 |
| Token No | SM/22-23/13116 14/09/2023 | Serial | 024 |
| Patient Name | Mr. SAGAR BERA | Contact No | 8637363803 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 36 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||