Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05706 | Date 23/11/2023 |
| Token No | SM/22-23/15723 23/11/2023 | Serial | 005 |
| Patient Name | Mr. CHITTARANJAN DAS | Contact No | 9339704007 |
| Address | 65/25/19/D/1 JANNAGAR ROAD SERAMPORE 712249 | Age | 64 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||