Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03469 | Date 22/12/2022 |
| Token No | SM/22-23/10197 05/07/2023 | Serial | 016 |
| Patient Name | Mr. BHRAMAR DEY | Contact No | 9674784016 |
| Address | 26/C PRABASHNAGAR SERAMPORE 712249 | Age | 47 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||