Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02735 | Date 21/09/2022 |
| Token No | SM/22-23/2881 21/09/2022 | Serial | 001 |
| Patient Name | Mr. GANGADHAR HALDAR | Contact No | 7890046988 |
| Address | 65/25/10B WEST JANNAGAR ROAD SERAMPORE 712249 | Age | 72 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||