Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05420 | Date 12/10/2023 |
| Token No | SM/22-23/14340 12/10/2023 | Serial | 056 |
| Patient Name | Mr. SAMBHU PAL | Contact No | 6291819550 |
| Address | 65/19/A/1 WEST JANNAGAR ROAD SERAMPORE 712249 | Age | 54 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||