Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04280 | Date 07/06/2023 |
| Token No | SM/22-23/17904 29/01/2024 | Serial | 068 |
| Patient Name | Mr. LILTON DEY | Contact No | 8100408788 |
| Address | 35/B B B GHOSH ROAD SUKANTA PALLY SERAMPORE M 712249 | Age | 54 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||