Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05058 | Date 04/09/2023 |
| Token No | SM/22-23/12719 04/09/2023 | Serial | 069 |
| Patient Name | Mr. BISWAJIT MONDAL | Contact No | 7679670021 |
| Address | D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 24 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||