Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05034 | Date 01/09/2023 |
| Token No | SM/24-25/21407 03/05/2024 | Serial | 002 |
| Patient Name | Mr. PRAVIN KUMAR DUTTA | Contact No | 9681052463 |
| Address | 43/47 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 53 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||