Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02901 | Date 15/10/2022 |
| Token No | SM/22-23/11511 08/08/2023 | Serial | 032 |
| Patient Name | Mr. SAMIR RANJAN DEBNATH | Contact No | 9088161841 |
| Address | 20/E PRABASHNAGAR SERAMPORE 712249 | Age | 55 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||