Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04693 | Date 03/08/2023 |
| Token No | SM/22-23/16310 09/12/2023 | Serial | 043 |
| Patient Name | Mr. SUKORANJAN DEY | Contact No | 9143335524 |
| Address | 118 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 30 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||