Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02021 | Date 23/06/2022 |
| Token No | SM/22-23/9502 12/06/2023 | Serial | 021 |
| Patient Name | Mr. SHIB PRASAD DAS | Contact No | 9875304540 |
| Address | 125/A DINEN BHATTACHARYA SARANI SERAMPORE 712249 | Age | 61 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 160/100 mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||