Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02340 | Date 29/07/2022 |
| Token No | SM/22-23/3950 02/11/2022 | Serial | 001 |
| Patient Name | Mr. BUDU DAS | Contact No | 7439256354 |
| Address | SOCIETY MATH PRABASHNAGAR SERAMPORE 712203 | Age | 43 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||