Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04757 | Date 08/08/2023 |
| Token No | SM/24-25/23033 11/06/2024 | Serial | 029 |
| Patient Name | Mr. BAPAN MAJUMDER | Contact No | 9330534761 |
| Address | 65/25/37 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 35 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||