Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02423 | Date 10/08/2022 |
| Token No | SM/22-23/2017 12/08/2022 | Serial | 039 |
| Patient Name | Mr. SUSANTA DHAR | Contact No | 9088519440 |
| Address | 13/63 B B GHOSH ROAD SERAMPORE 712203 | Age | 29 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||