Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02234 | Date 15/07/2022 |
| Token No | SM/22-23/1353 15/07/2022 | Serial | 023 |
| Patient Name | Mr. DEEP RAJBANSHI | Contact No | 7890046614 |
| Address | 5 NO COLONY DAKSHIN RAJYADHARPUR MALLICKPARA SERAMPORE 712203 | Age | 22 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 85 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||