Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 02015 | Date 23/06/2022 |
| Token No | SM/22-23/774 23/06/2022 | Serial | 023 |
| Patient Name | Mr. PRAKASH CHANDRA ROY | Contact No | 9804935828 |
| Address | 240 MAHESH COLONY SERAMPORE HOOGHLY 712202 | Age | 64 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||