Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03337 | Date 06/12/2022 |
| Token No | SM/22-23/5045 06/12/2022 | Serial | 043 |
| Patient Name | Mr. SHAMBHU SAHA | Contact No | 9433818647 |
| Address | 38/G B B GHOHS ROAD SERAMPORE 712203 | Age | 43 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||