Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01586 | Date 07/07/2020 |
| Token No | SM/24-25/24016 28/06/2024 | Serial | 100 |
| Patient Name | Mr. SHYAMAL SAHA | Contact No | 8336848967 |
| Address | 1/A/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 54 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||