Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06239 | Date 10/02/2024 |
| Token No | SM/22-23/18471 10/02/2024 | Serial | 032 |
| Patient Name | Mr. DIPAK DUTTA | Contact No | 9330102300 |
| Address | 9/A/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 52 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||