Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02618 | Date 05/09/2022 |
| Token No | SM/22-23/2460 05/09/2022 | Serial | 009 |
| Patient Name | Mr. AVIJIT DAS | Contact No | 9062333753 |
| Address | 26/E/C D N BHATTACHARYA SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 31 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||