Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07283 | Date 01/07/2024 |
| Token No | SM/24-25/24133 01/07/2024 | Serial | 042 |
| Patient Name | Mr. PASAN DAS | Contact No | 8100441821 |
| Address | WEST JANNAGAR ROAD CHAKLAPARA SERAMPORE 712249 | Age | 55 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||