Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02955 | Date 21/10/2022 |
| Token No | SM/22-23/3678 21/10/2022 | Serial | 010 |
| Patient Name | Mr. DILIP SHAW | Contact No | 9330803193 |
| Address | 220 NEW MAHESH SERAMPORE 712203 | Age | 49 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||