Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02073 | Date 27/06/2022 |
| Token No | SM/22-23/915 27/06/2022 | Serial | 049 |
| Patient Name | Mr. DASARATH DAS | Contact No | 8910502625 |
| Address | 73 NEW MAHESH SERAMPORE 712203 | Age | 35 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||