Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02877 | Date 13/10/2022 |
| Token No | SM/22-23/3404 13/10/2022 | Serial | 010 |
| Patient Name | Mr. SANJAY SHAW | Contact No | 9155320780 |
| Address | 164 B B GHOSH ROAD SERAMPORE 712203 | Age | 45 Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||