Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02662 | Date 09/09/2022 |
| Token No | SM/22-23/2599 09/09/2022 | Serial | 006 |
| Patient Name | Mr. SUNIL TARAFDAR | Contact No | 9903611944 |
| Address | 65/25/25/A WEST JANNAGAR ROAD PRABASHNAGAR SERAMPORE HOOGHLY 712249 | Age | 75 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||