Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01531 | Date 30/04/2020 |
| Token No | SM/24-25/29440 14/10/2024 | Serial | 045 |
| Patient Name | Mr. SOMNATH CHOWDHURY | Contact No | 9748513823 |
| Address | 38/D B B GHOSH ROAD SERAMPORE 712203 | Age | 21 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||