Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02574 | Date 26/08/2022 |
| Token No | SM/22-23/4545 18/11/2022 | Serial | 038 |
| Patient Name | Mr. SANDIP RUDRA | Contact No | 9332223350 |
| Address | 30/22 TARAPUKUR LANE SERAMPORE 712203 | Age | 41 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||