Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03078 | Date 07/11/2022 |
| Token No | SM/22-23/5845 02/01/2023 | Serial | 026 |
| Patient Name | Mr. JITEN GHOSH | Contact No | |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 55 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||