Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03801 | Date 20/02/2023 |
| Token No | SM/22-23/15289 08/11/2023 | Serial | 002 |
| Patient Name | Mr. DIPAK GHORUI | Contact No | 7449452031 |
| Address | 38/C B B GHOSH ROAD SERAMPORE 712203 | Age | 42 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||