Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07292 | Date 01/07/2024 |
| Token No | SM/24-25/24148 01/07/2024 | Serial | 057 |
| Patient Name | Mr. LAKSHMIKANTA DAS | Contact No | 8910373862 |
| Address | 125/A D N BHATTACHARYA SARANI PRAVASHNAGAR SERAMPORE 712249 | Age | 87 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||