Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01746 | Date 30/05/2022 |
| Token No | SM/22-23/1379 18/07/2022 | Serial | 002 |
| Patient Name | Mr. RAMBABU SHA | Contact No | 9163177892 |
| Address | PRABASHNAGAR CHAKLAPARA SERAMPORE 712249 | Age | 90 Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||