Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04692 | Date 03/08/2023 |
| Token No | SM/22-23/15086 03/11/2023 | Serial | 045 |
| Patient Name | Mr. SUBHAM MALLICK | Contact No | 6291947729 |
| Address | 9 B B GHOSH ROAD SERAMPORE 712203 | Age | 20 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||