Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00208 | Date 20/09/2019 |
| Token No | SM/22-23/6945 20/02/2023 | Serial | 022 |
| Patient Name | Mr. SAROJ DEVNATH | Contact No | 8296794656 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 74 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||