Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03320 | Date 05/12/2022 |
| Token No | SM/22-23/4983 05/12/2022 | Serial | 037 |
| Patient Name | Mr. SUNIL SINGHA | Contact No | 9433656860 |
| Address | 24/A/4 MAHESH JANNAGAR ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 64 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||