Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03266 | Date 26/11/2022 |
| Token No | SM/22-23/4777 26/11/2022 | Serial | 024 |
| Patient Name | Mr. PRATAP MONDAL | Contact No | 7890398479 |
| Address | 38/A B B GHOSH ROAD SERAMPORE 712203 | Age | 55 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||