Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01971 | Date 21/06/2022 |
| Token No | SM/22-23/666 21/06/2022 | Serial | 014 |
| Patient Name | Mr. MANAB MAJUMDER | Contact No | 8240966074 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 50 Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 146/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||