Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04775 | Date 10/08/2023 |
| Token No | SM/22-23/11624 10/08/2023 | Serial | 014 |
| Patient Name | Mr. SANJIB KUMAR BANERJEE | Contact No | 9143018463 |
| Address | 65/14/1/B PRABASHNAGAR SERAMPORE 712249 | Age | 51 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||