Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02362 | Date 01/08/2022 |
| Token No | SM/22-23/5422 19/12/2022 | Serial | 016 |
| Patient Name | Mr. AMIT BISWAS | Contact No | 7890764910 |
| Address | 10 /A/1 B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 49 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||