Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03325 | Date 05/12/2022 |
| Token No | SM/22-23/4996 05/12/2022 | Serial | 050 |
| Patient Name | Mr. BHANJAN DAS | Contact No | 7685094106 |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 38 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||