Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06236 | Date 10/02/2024 |
| Token No | SM/22-23/18456 10/02/2024 | Serial | 017 |
| Patient Name | Mr. AMAL KRISHNA PAL | Contact No | 9883943833 |
| Address | 25/5 D N BHATTACHARYA SARANI PRAVASHNAGAR SERAMPORE 712249 | Age | 68 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||