Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03315 | Date 05/12/2022 |
| Token No | SM/22-23/8382 25/04/2023 | Serial | 008 |
| Patient Name | Mr. RANJAN KUMAR SIL | Contact No | 9163781969 |
| Address | 65/7/4/A CHAKLAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 82 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||