Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04146 | Date 04/05/2023 |
| Token No | SM/22-23/8623 04/05/2023 | Serial | 043 |
| Patient Name | Mr. SHAYAKANTA SHAW | Contact No | |
| Address | 37 NEW MAHESH SERAMPORE 712203 | Age | 46 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||