Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02847 | Date 07/10/2022 |
| Token No | SM/22-23/11967 17/08/2023 | Serial | 050 |
| Patient Name | Mr. MAKHAN CHANDRA PAL | Contact No | 6289233323 |
| Address | 10A/5/1 PRABASHNAGAR SERAMPORE 712249 | Age | 69 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||