Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03362 | Date 09/12/2022 |
| Token No | SM/22-23/5122 09/12/2022 | Serial | 005 |
| Patient Name | Mr. SHAMBHU SAHA | Contact No | 9239632893 |
| Address | 34/A/1 PRABASHNAGAR SERAMPORE 712249 | Age | 55 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||