Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05168 | Date 18/09/2023 |
| Token No | SM/22-23/13220 18/09/2023 | Serial | 012 |
| Patient Name | Mr. BHABATOSH SARKAR | Contact No | 6290498945 |
| Address | 8A/2/20 PRABASHNAGAR SERAMPORE 712249 | Age | 63 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||