Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00217 | Date 21/09/2019 |
| Token No | SM/22-23/10390 11/07/2023 | Serial | 003 |
| Patient Name | Mr. RAJAT SAHA | Contact No | 8017328621 |
| Address | 34/B/54 B.B GHOSH ROAD SERAMPORE M 712203 | Age | 21 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||