Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05831 | Date 11/12/2023 |
| Token No | SM/22-23/16337 11/12/2023 | Serial | 011 |
| Patient Name | Mr. SUBRATA DEY | Contact No | 9874805850 |
| Address | 26/1 PRABASHNAGAR SERAMPORE 712249 | Age | 48 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||