Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05728 | Date 24/11/2023 |
| Token No | SM/22-23/15799 24/11/2023 | Serial | 036 |
| Patient Name | Mr. SUKUMAR KARMAKAR | Contact No | 9681298559 |
| Address | 65/24/4 PRAVASHNAGAR SERAMPORE 712249 | Age | 37 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||