Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05005 | Date 29/08/2023 |
| Token No | SM/22-23/12503 29/08/2023 | Serial | 038 |
| Patient Name | Mr. AKASH DEBNATH | Contact No | 6291341293 |
| Address | 25/3 D N BHATTACHARYA SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 21 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||