Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04694 | Date 03/08/2023 |
| Token No | SM/22-23/11275 03/08/2023 | Serial | 016 |
| Patient Name | Mr. SURJYAJIT JANA | Contact No | 7439049144 |
| Address | 34/B/59 SUBASH PALLY SERAMPORE | Age | 18 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||