Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01850 | Date 08/06/2022 |
| Token No | SM/22-23/5811 30/12/2022 | Serial | 043 |
| Patient Name | Mr. ALAK DAS | Contact No | 9051391627 |
| Address | 38 PRABASHNAGAR SERAMPORE 712249 | Age | 61 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||