Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00906 | Date 08/02/2020 |
| Token No | SM/22-23/4689 24/11/2022 | Serial | 010 |
| Patient Name | Mr. TAPAN MUKHERJEE | Contact No | 9163923681 |
| Address | 36 PRABASHNAGAR SERAMPORE 712249 | Age | 69 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||