Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02678 | Date 09/09/2022 |
| Token No | SM/22-23/4160 07/11/2022 | Serial | 059 |
| Patient Name | Mr. SUBODH SHA | Contact No | 6291133674 |
| Address | 65/251/1 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 52 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||