Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03470 | Date 22/12/2022 |
| Token No | SM/22-23/5547 22/12/2022 | Serial | 016 |
| Patient Name | Mr. ASHOK SARKAR | Contact No | 8584963932 |
| Address | 16A/5 PRABASHNAGAR SERAMPORE 712249 | Age | 43 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||