Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03042 | Date 03/11/2022 |
| Token No | SM/22-23/4005 03/11/2022 | Serial | 019 |
| Patient Name | Mr. GANESH PANDIT | Contact No | 8969776650 |
| Address | CHAKLAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 42 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||