Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05062 | Date 05/09/2023 |
| Token No | SM/22-23/12742 05/09/2023 | Serial | 015 |
| Patient Name | Mr. SOMNATH PANJA | Contact No | 9064988878 |
| Address | D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 28 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 78 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||