Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07699 | Date 20/08/2024 |
| Token No | SM/24-25/26847 20/08/2024 | Serial | 015 |
| Patient Name | Mr. ROSHAN KUMAR MONDAL | Contact No | 8777245610 |
| Address | 1B D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 21 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||