Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04451 | Date 06/07/2023 |
| Token No | SM/22-23/11596 09/08/2023 | Serial | 054 |
| Patient Name | Mr. JOYKRISHNA BANERJEE | Contact No | 8276049136 |
| Address | 34/B/13 B B GHOSH ROAD SERAMPORE 712203 | Age | 23 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 85 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||