Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05740 | Date 25/11/2023 |
| Token No | SM/22-23/15846 25/11/2023 | Serial | 040 |
| Patient Name | Mr. SAGAR MANNA | Contact No | 9748653349 |
| Address | 9/371/F B B GHOSH ROAD SERAMPORE 712203 | Age | 22 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||