Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02437 | Date 11/08/2022 |
| Token No | SM/22-23/1970 11/08/2022 | Serial | 007 |
| Patient Name | Mr. MANDIRA GHOSH | Contact No | 9874360687 |
| Address | PRABASHNAGAR CHAKLAPARA SERAMPORE 712249 | Age | 30 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||