Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01939 | Date 17/06/2022 |
| Token No | SM/22-23/606 17/06/2022 | Serial | 011 |
| Patient Name | Mr. NAGESGWAR CHOWDHURY | Contact No | 7890362728 |
| Address | 13/5 B B GHOSH ROAD SERAMPORE 712203 | Age | 60 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 160/100 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||