Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04628 | Date 27/07/2023 |
| Token No | SM/22-23/11017 27/07/2023 | Serial | 001 |
| Patient Name | Mr. BIKRAM MONDAL | Contact No | 8697351645 |
| Address | 38/F B B GHOSH ROAD SERAMPORE 712203 | Age | 55 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||