Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05435 | Date 16/10/2023 |
| Token No | SM/22-23/14419 16/10/2023 | Serial | 026 |
| Patient Name | Mr. PARTHA DAS | Contact No | 9674162059 |
| Address | 65/25/23 MAHESH JANNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 38 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||