Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02738 | Date 21/09/2022 |
| Token No | SM/22-23/3627 19/10/2022 | Serial | 021 |
| Patient Name | Mr. SUBHAJIT ROYCHOWDHURY | Contact No | 9883721226 |
| Address | 20C/2 PRABASHNAGAR SERAMPORE 712249 | Age | 17 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||