Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01706 | Date 27/05/2022 |
| Token No | SM/22-23/12010 18/08/2023 | Serial | 042 |
| Patient Name | Mr. SHIBU DAS | Contact No | 7595811257 |
| Address | 75 NEW MAHESH SERAMPORE 712203 | Age | 58 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||