Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03941 | Date 15/03/2023 |
| Token No | SM/24-25/25919 02/08/2024 | Serial | 012 |
| Patient Name | Mr. CHANCHAL MAJUMDER | Contact No | 9831324483 |
| Address | 65/25/37 PRABASHNAGAR SERAMPORE 712249 | Age | 53 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/60 mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||