Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01648 | Date 23/05/2022 |
| Token No | SM/22-23/77 23/05/2022 | Serial | 046 |
| Patient Name | Mr. ASHOKE GHOSH | Contact No | |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 60 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||