Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02438 | Date 11/08/2022 |
| Token No | SM/22-23/12197 23/08/2023 | Serial | 002 |
| Patient Name | Mr. BIDYUT GHOSH | Contact No | 9874360687 |
| Address | 65/22 PRABASHNAGAR SERAMPORE 712249 | Age | 44 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||