Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04560 | Date 21/07/2023 |
| Token No | SM/22-23/10765 21/07/2023 | Serial | 006 |
| Patient Name | Mr. RABI CHAKRABORTY | Contact No | 9007613877 |
| Address | 65/25/B MAHESH JANNAGAR ROAD SERAMPORE 712249 | Age | 57 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||