Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03585 | Date 09/01/2023 |
| Token No | SM/22-23/8078 10/04/2023 | Serial | 012 |
| Patient Name | Mr. TAPAN MAJUMDAR | Contact No | 9903227305 |
| Address | 65/25/37 PRABASHNAGAR SERAMPORE 712249 | Age | 63 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||