Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01235 | Date 19/03/2020 |
| Token No | SM/22-23/877 27/06/2022 | Serial | 011 |
| Patient Name | Mr. CHANDI DAS | Contact No | 9674823693 |
| Address | SOCIETY MATH B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712203 | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 31 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||