Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05042 | Date 02/09/2023 |
| Token No | SM/22-23/12647 02/09/2023 | Serial | 030 |
| Patient Name | Mr. KARTICK CHANDRA DAS | Contact No | 8910565604 |
| Address | D N BHATTACHARYA SARANI SERAMPORE 712203 | Age | 46 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||