Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02029 | Date 23/06/2022 |
| Token No | SM/22-23/817 23/06/2022 | Serial | 066 |
| Patient Name | Mr. RAMEN DASGUPTA | Contact No | 9088953233 |
| Address | 34/B/2 SUKANTA PALLY SERAMPORE 712203 | Age | 69 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||