Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03987 | Date 27/03/2023 |
| Token No | SM/22-23/7839 27/03/2023 | Serial | 014 |
| Patient Name | Mr. SHAMBHU CHARAN DEY | Contact No | 7449697561 |
| Address | 44 NEW MAHESH SERAMPORE 712203 | Age | 64 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||