Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07087 | Date 22/06/2024 |
| Token No | SM/24-25/23527 22/06/2024 | Serial | 006 |
| Patient Name | Mr. BIMAL CHANDRA DUTTA | Contact No | 9477134250 |
| Address | 43/8 PRABASHNAGAR SERAMPORE 712249 | Age | 73 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||