Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05059 | Date 04/09/2023 |
| Token No | SM/22-23/12840 08/09/2023 | Serial | 029 |
| Patient Name | Mr. DULAL DAS | Contact No | 9749352112 |
| Address | 9/A/2 PRABASHNAGAR SERAMPORE 712249 | Age | 48 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||