Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03366 | Date 09/12/2022 |
| Token No | SM/22-23/5158 09/12/2022 | Serial | 041 |
| Patient Name | Mr. GOUR CHANDRA DUTTA | Contact No | 9088520701 |
| Address | 26/B PRABASHNAGAR SERAMPORE 712249 | Age | 61 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||