Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05920 | Date 21/12/2023 |
| Token No | SM/22-23/16776 21/12/2023 | Serial | 029 |
| Patient Name | Mr. SAMIR SAMANTA | Contact No | 7890046879 |
| Address | 65/1 WEST JANNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 47 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||