Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05800 | Date 05/12/2023 |
| Token No | SM/22-23/16188 05/12/2023 | Serial | 028 |
| Patient Name | Mr. SANTI RANJAN DEY | Contact No | 9674251418 |
| Address | 147 NEW MAHESH SERAMPORE 712203 | Age | 59 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||