Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05849 | Date 12/12/2023 |
| Token No | SM/22-23/16406 12/12/2023 | Serial | 031 |
| Patient Name | Mr. CHADU DAS | Contact No | 9830845667 |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 53 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||