Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00150 | Date 16/09/2019 |
| Token No | SM/22-23/7694 20/03/2023 | Serial | 031 |
| Patient Name | Mr. BUDDHADEV DATTA | Contact No | 8967777772 |
| Address | 26/B PRABASHNAGAR SERAMPORE 712249 | Age | 44 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||