Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01884 | Date 10/06/2022 |
| Token No | SM/22-23/15459 11/11/2023 | Serial | 009 |
| Patient Name | Mr. BIJOYSANKAR DAS | Contact No | 7003417121 |
| Address | 65/20/13 CHAKLAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 85 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||