Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02002 | Date 22/06/2022 |
| Token No | SM/22-23/4410 14/11/2022 | Serial | 042 |
| Patient Name | Mr. SANKAR RABIDAS | Contact No | 7450066802 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 60 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||