Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02886 | Date 14/10/2022 |
| Token No | SM/22-23/8832 15/05/2023 | Serial | 009 |
| Patient Name | Mr. RANJIT DAS | Contact No | 9051606412 |
| Address | 47 NEW MAHESH SERAMPORE 712203 | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||