Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01711 | Date 27/05/2022 |
| Token No | SM/22-23/168 27/05/2022 | Serial | 029 |
| Patient Name | Mr. RABIN BANERJEE | Contact No | 9804250274 |
| Address | 34-B/30/A B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||