Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01997 | Date 22/06/2022 |
| Token No | SM/22-23/724 22/06/2022 | Serial | 024 |
| Patient Name | Mr. ASHOK BANERJEE | Contact No | 6289407371 |
| Address | 8/B/1 PRABASHNAGAR SERAMPORE HOOGHLY 712249 | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||