Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06180 | Date 05/02/2024 |
| Token No | SM/22-23/18164 05/02/2024 | Serial | 021 |
| Patient Name | Mr. BABLU DEY | Contact No | 9831115016 |
| Address | 65/12 M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 52 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||