Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02789 | Date 26/09/2022 |
| Token No | SM/22-23/3053 26/09/2022 | Serial | 022 |
| Patient Name | Mr. UMESH KUMAR | Contact No | 9073728150 |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 18 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||