Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 02794 | Date 26/09/2022 |
| Token No | SM/22-23/3072 26/09/2022 | Serial | 041 |
| Patient Name | Mr. SANTOSH CHOWDHURY | Contact No | 6207006113 |
| Address | 55 RAYLAND ROAD SERAMPORE 712202 | Age | 28 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||