Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05902 | Date 19/12/2023 |
| Token No | SM/22-23/16689 19/12/2023 | Serial | 032 |
| Patient Name | Mr. CHINMOY BHOWMICK | Contact No | 8481912203 |
| Address | 8/A/2/11 D N BHATTACHARYA SARANI PRAVASHNAGAR SERAMPORE 712249 | Age | 37 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||