Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03620 | Date 19/01/2023 |
| Token No | SM/22-23/6169 19/01/2023 | Serial | 011 |
| Patient Name | Mr. ALAUDDIN SEKH | Contact No | 7595859292 |
| Address | DCRUZE GARDEN LANE SERAMPORE 712203 | Age | 48 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||