Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01644 | Date 23/05/2022 |
| Token No | SM/22-23/18389 09/02/2024 | Serial | 020 |
| Patient Name | Mr. SANJAY SHAW | Contact No | 7003270217 |
| Address | 164 B B GHOSH ROAD SERAMPORE M 712203 | Age | 48 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||