Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01179 | Date 14/03/2020 |
| Token No | SM/22-23/5276 14/12/2022 | Serial | 022 |
| Patient Name | Mr. BHISHMA RANJAN SENGUPTA | Contact No | 9330614257 |
| Address | 13 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 74 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||