Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06645 | Date 27/04/2024 |
| Token No | SM/24-25/21609 06/05/2024 | Serial | 032 |
| Patient Name | Mr. BIMAL DASGUPTA | Contact No | 8420924099 |
| Address | 10/A/3 PRAVASHNAGAR SERAMPORE 712249 | Age | 55 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||