Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05019 | Date 31/08/2023 |
| Token No | SM/22-23/12552 31/08/2023 | Serial | 038 |
| Patient Name | Mr. BIJOY RASUYA | Contact No | 7044752768 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 24 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||