Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02806 | Date 28/09/2022 |
| Token No | SM/22-23/4445 16/11/2022 | Serial | 014 |
| Patient Name | Mr. AMIYA KUMAR MUKHOPADHYAY | Contact No | 8017870788 |
| Address | 13/9 B B GHOSH ROAD SERAMPORE 712203 | Age | 67 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||