Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07316 | Date 02/07/2024 |
| Token No | SM/24-25/25035 16/07/2024 | Serial | 036 |
| Patient Name | Mr. BECHARAM DUTTA | Contact No | 9051969976 |
| Address | 65/7/9 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 43 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||