Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04361 | Date 21/06/2023 |
| Token No | SM/22-23/18364 08/02/2024 | Serial | 059 |
| Patient Name | Mr. KALI RANJAN DAS | Contact No | 9123939766 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 44 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 95 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||