Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03187 | Date 18/11/2022 |
| Token No | SM/22-23/4550 18/11/2022 | Serial | 043 |
| Patient Name | Mr. BHAJAN DAS | Contact No | 9804161624 |
| Address | 191 NEW MAHESH SERAMPORE 712203 | Age | 46 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||