Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01985 | Date 22/06/2022 |
| Token No | SM/22-23/20237 28/03/2024 | Serial | 015 |
| Patient Name | Mr. KAUSHIK PARASRAMPURIA | Contact No | 7003189908 |
| Address | 83/1 VIVEKANANDA SCHOOL BEADON STREET KOLKATA 700006 | Age | 32 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||