Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02939 | Date 19/10/2022 |
| Token No | SM/22-23/3628 19/10/2022 | Serial | 022 |
| Patient Name | Mr. PARIKSHIT DEBNATH | Contact No | |
| Address | 43/16/B/2 PRABASHNAGAR SERAMPORE 712249 | Age | 25 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||