Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02725 | Date 19/09/2022 |
| Token No | SM/22-23/2841 19/09/2022 | Serial | 027 |
| Patient Name | Mr. JAGDISH SAROJ | Contact No | 9123912411 |
| Address | NEW MAHESH SERAMPORE 712203 | Age | 39 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||