Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03184 | Date 18/11/2022 |
| Token No | SM/22-23/11124 31/07/2023 | Serial | 021 |
| Patient Name | Mr. SHAMBHUNATH HALDER | Contact No | 8013734819 |
| Address | 11/G/1 D N BHATTACHARYA SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 62 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||