Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01139 | Date 07/03/2020 |
| Token No | SM/22-23/4384 14/11/2022 | Serial | 016 |
| Patient Name | Mr. LAKHAN SINGH | Contact No | 9903265648 |
| Address | 32 B B GHOSH ROAD SERAMPORE 712203 | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||