Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 02821 | Date 29/09/2022 |
| Token No | SM/22-23/8172 12/04/2023 | Serial | 010 |
| Patient Name | Mr. MD RAMZAN | Contact No | 9681692562 |
| Address | 13 K M BHATTACHARYA STREET SERAMPORE 712201 | Age | 56 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||