Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05540 | Date 31/10/2023 |
| Token No | SM/22-23/14915 31/10/2023 | Serial | 051 |
| Patient Name | Mr. SANDIP SHAW | Contact No | 9062446652 |
| Address | CHAKLAPARA PRAVASHNAGAR SERAMPORE 712249 | Age | 32 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||