Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01647 | Date 23/05/2022 |
| Token No | SM/22-23/6698 09/02/2023 | Serial | 032 |
| Patient Name | Mr. AYANDEEP GHOSH | Contact No | 9674974019 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 20 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||