Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02109 | Date 30/06/2022 |
| Token No | SM/22-23/3402 13/10/2022 | Serial | 008 |
| Patient Name | Mr. SHANKAR CHANDRA PRAMANIK | Contact No | 9163691019 |
| Address | 165/D PRABASHNAGAR SERAMPORE 712249 | Age | 47 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 73 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||