Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01917 | Date 13/06/2022 |
| Token No | SM/22-23/7304 06/03/2023 | Serial | 004 |
| Patient Name | Mr. SUSANTA BHATTACHARJEE | Contact No | 7980699457 |
| Address | 24/A PRABASHNAGAR SERAMPORE 712249 | Age | 45 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||