Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00853 | Date 03/02/2020 |
| Token No | SM/22-23/2392 31/08/2022 | Serial | 027 |
| Patient Name | Mr. SUSHIL CHANDRA DAS | Contact No | 9804888987 |
| Address | 38/E B B GHOSH ROAD SERAMPORE 712203 | Age | 49 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||