Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01903 | Date 13/06/2022 |
| Token No | SM/22-23/8393 25/04/2023 | Serial | 019 |
| Patient Name | Mr. AJOY DAS | Contact No | 9330403350 |
| Address | 24 NEW MAHESH SERAMPORE 712203 | Age | 61 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||