Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03956 | Date 17/03/2023 |
| Token No | SM/22-23/7642 17/03/2023 | Serial | 029 |
| Patient Name | Mr. KISHORI DAS | Contact No | 9007758885 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 60 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||