Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05686 | Date 18/11/2023 |
| Token No | SM/22-23/15615 18/11/2023 | Serial | 007 |
| Patient Name | Mr. SHIB SANKAR SARKAR | Contact No | 9903354083 |
| Address | 65/20/9/1 MAHESH JANNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 41 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||