Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04670 | Date 01/08/2023 |
| Token No | SM/22-23/12482 29/08/2023 | Serial | 017 |
| Patient Name | Mr. GANESH DAS | Contact No | 9836088661 |
| Address | 24/A GURUGARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 51 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||