Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05216 | Date 22/09/2023 |
| Token No | SM/22-23/13417 22/09/2023 | Serial | 038 |
| Patient Name | Mr. SOMNATH ADHIKARI | Contact No | 9330825257 |
| Address | 55A/27 GURU GARDEN ROAD SERAMPORE M 712249 | Age | 26 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||