Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04150 | Date 06/05/2023 |
| Token No | SM/22-23/8636 06/05/2023 | Serial | 007 |
| Patient Name | Mr. BUDDHADEB ADAK | Contact No | 8478840140 |
| Address | 65/25/10/E PRABASHNAGAR CHAKLAPARA SERAMPORE 712249 | Age | 51 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||