Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05337 | Date 05/10/2023 |
| Token No | SM/22-23/14032 06/10/2023 | Serial | 037 |
| Patient Name | Mr. RAMKRISHNA DEY | Contact No | 9163705608 |
| Address | 43/45 WEST JANNAGAR ROAD SERAMPORE 712249 | Age | 58 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||