Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 02974 | Date 22/10/2022 |
| Token No | SM/22-23/3772 25/10/2022 | Serial | 014 |
| Patient Name | Mr. BHUTNATH ROY | Contact No | 8697613975 |
| Address | 55 NO ROYLAND ROAD SERAMPORE 712201 | Age | 40 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||