Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 02361 | Date 01/08/2022 |
| Token No | SM/22-23/1918 10/08/2022 | Serial | 016 |
| Patient Name | Mr. MOTI CHAUDHURI | Contact No | 7003615139 |
| Address | 55-N RAY LAND ROAD SERAMPORE 712201 | Age | 67 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||