Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01096 | Date 27/02/2020 |
| Token No | SM/22-23/7355 09/03/2023 | Serial | 009 |
| Patient Name | Mr. JAYANTA SHIL | Contact No | 9143064981 |
| Address | 165/C PRABASHNAGAR WEST JANNAGAR ROAD SERAMPORE | Age | 54 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||