Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03692 | Date 01/02/2023 |
| Token No | SM/22-23/6466 01/02/2023 | Serial | 033 |
| Patient Name | Mr. ARJUN KARMAKAR | Contact No | 7003965313 |
| Address | 9/371/C B B GHOSH ROAD SERAMPORE 712203 | Age | 30 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||