Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02651 | Date 07/09/2022 |
| Token No | SM/22-23/4467 16/11/2022 | Serial | 036 |
| Patient Name | Mr. BITTU DAS | Contact No | 9674823693 |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 22 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||