Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05120 | Date 12/09/2023 |
| Token No | SM/22-23/12996 12/09/2023 | Serial | 020 |
| Patient Name | Mr. GIRI KANDAL | Contact No | 9335098813 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 38 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||