Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05265 | Date 27/09/2023 |
| Token No | SM/22-23/13742 29/09/2023 | Serial | 039 |
| Patient Name | Mr. KANAI ROY | Contact No | 9432224964 |
| Address | 13/2 B B GHOSH ROAD MAA SARADA PALLY SERAMPORE 712203 | Age | 59 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||