Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04721 | Date 04/08/2023 |
| Token No | SM/22-23/11380 04/08/2023 | Serial | 075 |
| Patient Name | Mr. TUSHAR SARKAR | Contact No | 6290497084 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 22 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||