Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00141 | Date 16/09/2019 |
| Token No | SM/22-23/19303 01/03/2024 | Serial | 064 |
| Patient Name | Mr. RAJAT DAS | Contact No | 9330709013 |
| Address | 9/A/1 D N BHATTACHARYA SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||