Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04645 | Date 28/07/2023 |
| Token No | SM/22-23/11080 28/07/2023 | Serial | 012 |
| Patient Name | Mr. NANI GOPAL PAUL | Contact No | 9143091015 |
| Address | 65/24 WEST JANNAGAR ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 70 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||