Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05326 | Date 04/10/2023 |
| Token No | SM/22-23/13895 04/10/2023 | Serial | 012 |
| Patient Name | Mr. SUBHAJIT HAZRA | Contact No | 8768975046 |
| Address | D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 25 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||