Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01964 | Date 21/06/2022 |
| Token No | SM/22-23/728 22/06/2022 | Serial | 028 |
| Patient Name | Mr. SUBASH DAS | Contact No | 9681411976 |
| Address | 10A DINEN BHATTACHARYA SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 52 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||