Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02481 | Date 17/08/2022 |
| Token No | SM/22-23/6837 16/02/2023 | Serial | 013 |
| Patient Name | Mr. SAKTI DAS | Contact No | 9681901466 |
| Address | 121/1 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 29 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||