Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03390 | Date 13/12/2022 |
| Token No | SM/22-23/5250 13/12/2022 | Serial | 009 |
| Patient Name | Mr. DASHARATH DAS | Contact No | 8910502625 |
| Address | 243 NEW MAHESH SERAMPORE 712203 | Age | 34 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||