Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01259 | Date 21/03/2020 |
| Token No | SM/22-23/7863 28/03/2023 | Serial | 013 |
| Patient Name | Mr. RATAN SAHA | Contact No | 8017328621 |
| Address | 34/B/54 SUKANTA PALLY PRABASHNAGAR SERAMPORE 712203 | Age | 53 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||