Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07248 | Date 29/06/2024 |
| Token No | SM/24-25/24039 29/06/2024 | Serial | 020 |
| Patient Name | Mr. BABUL RAKSHIT | Contact No | 8794691214 |
| Address | 34/B/29 B B GHOSH ROAD SERAMPORE 712203 | Age | 67 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||