Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05463 | Date 18/10/2023 |
| Token No | SM/22-23/14542 18/10/2023 | Serial | 006 |
| Patient Name | Mr. GHANASHYAM SINGH | Contact No | 8582041807 |
| Address | SUKANTA PALLY B B GHOSH ROAD SERAMPORE 712203 | Age | 53 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||