Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04861 | Date 18/08/2023 |
| Token No | SM/22-23/11984 18/08/2023 | Serial | 016 |
| Patient Name | Mr. GOPAL DUTTA | Contact No | 9330280144 |
| Address | 8/B/3 PRABASHNAGAR SERAMPORE 712249 | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||