Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01588 | Date 08/07/2020 |
| Token No | SM/22-23/1612 27/07/2022 | Serial | 020 |
| Patient Name | Mr. HIRALAL MAJUMDAR | Contact No | 8100713711 |
| Address | DINEN BHATTACHARYA SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||