Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02080 | Date 28/06/2022 |
| Token No | SM/22-23/931 28/06/2022 | Serial | 016 |
| Patient Name | Mr. SUBASH SAMADDAR | Contact No | 8420707382 |
| Address | 70C PRABASHNAGAR SERAMPORE HOOGHLY 712249 | Age | 44 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||