Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02940 | Date 19/10/2022 |
| Token No | SM/22-23/3629 19/10/2022 | Serial | 023 |
| Patient Name | Mr. SUKANTA GHOSHAL | Contact No | 9433640502 |
| Address | 8/A/2/17 PRABASHNAGAR SERAMPORE 712249 | Age | 51 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||