Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02455 | Date 13/08/2022 |
| Token No | SM/22-23/2024 13/08/2022 | Serial | 001 |
| Patient Name | Mr. RABI RAY | Contact No | |
| Address | SUKANTA PALLY SERAMPORE 712203 | Age | 45 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||