Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02707 | Date 15/09/2022 |
| Token No | SM/22-23/4260 10/11/2022 | Serial | 033 |
| Patient Name | Mr. UTTAM HALDER | Contact No | 7439898960 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 44 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||