Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02078 | Date 28/06/2022 |
| Token No | SM/22-23/4954 05/12/2022 | Serial | 008 |
| Patient Name | Mr. SRIKANTA DAS | Contact No | 9143033146 |
| Address | 8A/2/2 B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 70 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||