Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05226 | Date 25/09/2023 |
| Token No | SM/22-23/13489 25/09/2023 | Serial | 002 |
| Patient Name | Mr. MAHADEB DAS | Contact No | |
| Address | 13A/7 GURU GARDEN ROAD SERAMPORE 712203 | Age | 68 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||