Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03498 | Date 24/12/2022 |
| Token No | SM/22-23/5638 24/12/2022 | Serial | 039 |
| Patient Name | Mr. SAMIR BHADHURI | Contact No | |
| Address | PRABASHNAGAR SERAMPORE 7122499 | Age | 75 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||