Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00644 | Date 02/01/2020 |
| Token No | SM/22-23/5579 23/12/2022 | Serial | 016 |
| Patient Name | Mr. ANUJ BANERJEE | Contact No | |
| Address | B B GHOSH ROAD PRABASHNAGAR 712203 | Age | 46 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||