Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00829 | Date 01/02/2020 |
| Token No | SM/22-23/4356 12/11/2022 | Serial | 012 |
| Patient Name | Mr. HIMANGSHU DEBNATH | Contact No | 9339780070 |
| Address | 8/A/2/4/1 PRABASHNAGAR SERAMPORE 712249 | Age | 52 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||