Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 02059 | Date 27/06/2022 |
| Token No | SM/22-23/885 27/06/2022 | Serial | 019 |
| Patient Name | Mr. DINABANDHU BARAT | Contact No | 7890489852 |
| Address | 15/A AUDDY LANE SERAMPORE HOOGHLY 712201 | Age | 85 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||