Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04678 | Date 01/08/2023 |
| Token No | SM/22-23/11292 03/08/2023 | Serial | 033 |
| Patient Name | Mr. KAMALA KANTA DAS | Contact No | 8910373862 |
| Address | 125/A PRABASHNAGAR SERAMPORE 712249 | Age | 51 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||