Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 00045 | Date 09/09/2019 |
| Token No | SM/22-23/1328 14/07/2022 | Serial | 028 |
| Patient Name | Mr. SUBESH DAS | Contact No | 9836563586 |
| Address | 20 BAZAR BYE LANE TINBAZAR SERAMPORE 712201 | Age | 46 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||