Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02366 | Date 01/08/2022 |
| Token No | SM/22-23/1753 01/08/2022 | Serial | 033 |
| Patient Name | Mr. GANESH DAS | Contact No | 7686890890 |
| Address | 25 NEW MAHESH SERAMPORE 712203 | Age | 56 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||