Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05025 | Date 01/09/2023 |
| Token No | SM/22-23/12568 01/09/2023 | Serial | 011 |
| Patient Name | Mr. KRISHNA NATH KUMAR | Contact No | 9231353397 |
| Address | 34 B/35 B B GHOSH ROAD SERAMPORE 712203 | Age | 34 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||