Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05102 | Date 11/09/2023 |
| Token No | SM/22-23/14346 13/10/2023 | Serial | 001 |
| Patient Name | Mr. PRANABLLAV DAS | Contact No | 9674125299 |
| Address | 65/22/1 PROVASNAGAR SERAMPORE 712249 | Age | 82 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||