Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04525 | Date 18/07/2023 |
| Token No | SM/22-23/15369 09/11/2023 | Serial | 028 |
| Patient Name | Mr. TAPAN DASGUPTA | Contact No | 9874726933 |
| Address | 34/B/1/B B B GHOSH ROAD SERAMPORE 712203 | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||