Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05292 | Date 29/09/2023 |
| Token No | SM/22-23/13797 30/09/2023 | Serial | 017 |
| Patient Name | Mr. RAJU KANDAL | Contact No | 7439076495 |
| Address | B B GHOSH ROAD HARIJAN BASTI SERAMPORE 712203 | Age | 27 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||