Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01927 | Date 15/06/2022 |
| Token No | SM/22-23/3280 08/10/2022 | Serial | 015 |
| Patient Name | Mr. SURESH CHANDRA DAS | Contact No | 8583028841 |
| Address | 55A/12 M J ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 59 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||