Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03361 | Date 09/12/2022 |
| Token No | SM/22-23/5121 09/12/2022 | Serial | 004 |
| Patient Name | Mr. SUBHAJIT DEY | Contact No | |
| Address | 26 NEW MAHESH SERAMPORE 712203 | Age | 19 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||