Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05353 | Date 06/10/2023 |
| Token No | SM/22-23/14531 17/10/2023 | Serial | 074 |
| Patient Name | Mr. AMIT SARKAR | Contact No | 7890652064 |
| Address | 40/A PRAVASNAGAR SERAMPORE 712249 | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||