Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03359 | Date 09/12/2022 |
| Token No | SM/22-23/5119 09/12/2022 | Serial | 002 |
| Patient Name | Mr. SOUMEN GHORUI | Contact No | 7278301373 |
| Address | 38/D B B GHOSH ROAD SERAMPORE 712203 | Age | 25 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||