Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02347 | Date 29/07/2022 |
| Token No | SM/22-23/1702 29/07/2022 | Serial | 028 |
| Patient Name | Mr. RABIN NATH | Contact No | 9051626059 |
| Address | 43/A/7 PRABASHNAGAR SERAMPORE 712249 | Age | 51 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||