Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01615 | Date 23/05/2022 |
| Token No | SM/22-23/2051 16/08/2022 | Serial | 019 |
| Patient Name | Mr. NEPAL MAJUMDAR | Contact No | 8017196818 |
| Address | 50 NEW MAHESH SERAMPORE 712203 | Age | 74 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||