Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05807 | Date 07/12/2023 |
| Token No | SM/22-23/16410 12/12/2023 | Serial | 035 |
| Patient Name | Mr. BHASKAR CHAKRABORTY | Contact No | 9874932621 |
| Address | 65/22/4 PASCHIM JANNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 81 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||