Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05429 | Date 13/10/2023 |
| Token No | SM/22-23/14384 13/10/2023 | Serial | 039 |
| Patient Name | Mr. PINU HALDER | Contact No | 9062929983 |
| Address | B.B GHOSH ROAD SERAMPORE 712249 | Age | 34 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||