Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03458 | Date 21/12/2022 |
| Token No | SM/22-23/5488 21/12/2022 | Serial | 002 |
| Patient Name | Mr. PALTU SAHA | Contact No | 9330176279 |
| Address | 13/25 B B GHOSH ROAD SERAMPORE 712203 | Age | 40 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||