Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05394 | Date 10/10/2023 |
| Token No | SM/22-23/15374 09/11/2023 | Serial | 033 |
| Patient Name | Mr. MANASA DAS | Contact No | 8697083890 |
| Address | 11/E D N BHATTACHARYA STREET PRABASHNAGAR SERAMPORE 712249 | Age | 69 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 170/90 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||