Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03126 | Date 11/11/2022 |
| Token No | SM/22-23/4339 11/11/2022 | Serial | 052 |
| Patient Name | Mr. RANJIT NAYAK | Contact No | |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||