Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01117 | Date 04/03/2020 |
| Token No | SM/22-23/12547 31/08/2023 | Serial | 033 |
| Patient Name | Mr. DULAL DUTTA | Contact No | 7439241921 |
| Address | 65/9 M J ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||