Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06130 | Date 30/01/2024 |
| Token No | SM/24-25/28661 24/09/2024 | Serial | 011 |
| Patient Name | Mr. RAMCHANDRA RAY | Contact No | |
| Address | SUKANTA PALLY SERAMPORE 712203 | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||