Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00067 | Date 09/09/2019 |
| Token No | SM/22-23/2499 05/09/2022 | Serial | 048 |
| Patient Name | Mr. SAMIR GUHA ROY | Contact No | 9831878150 |
| Address | RAJYADHARPUR NURSARY MATH SERAMPORE 712203 | Age | 75 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||