Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05947 | Date 27/12/2023 |
| Token No | SM/22-23/16936 27/12/2023 | Serial | 025 |
| Patient Name | Mr. SUBIR DEY | Contact No | 9007654076 |
| Address | 9/431M JANNAGAR ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||