Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01371 | Date 06/04/2020 |
| Token No | SM/22-23/6102 14/01/2023 | Serial | 019 |
| Patient Name | Mr. NARESH CH SARKAR | Contact No | |
| Address | PROVASNAGER SERAMPORE 712249 | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||