Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03471 | Date 22/12/2022 |
| Token No | SM/22-23/5550 22/12/2022 | Serial | 019 |
| Patient Name | Mr. GORACHAND DUTTA | Contact No | 9088233017 |
| Address | 65/25/19/C PRABASHNAGAR SERAMPORE 712249 | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||