Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01783 | Date 01/06/2022 |
| Token No | SM/22-23/8826 15/05/2023 | Serial | 003 |
| Patient Name | Mr. GOBINDA DUTTA | Contact No | 9432422022 |
| Address | 35/D SUKANTA PALLY B B GHOSH ROAD SERAMPORE 712203 | Age | 67 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||