Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01698 | Date 27/05/2022 |
| Token No | SM/22-23/232 30/05/2022 | Serial | 030 |
| Patient Name | Mr. GOPAL DAS | Contact No | 8478840746 |
| Address | 17 NEW MAHESH SERAMPORE 712203 | Age | 33 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||