Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07572 | Date 03/08/2024 |
| Token No | SM/24-25/25964 03/08/2024 | Serial | 016 |
| Patient Name | Mr. BIMAN KANTI GHOSH | Contact No | 8902649696 |
| Address | 65/22/6 PRAVASHNAGAR SERAMPORE 712249 | Age | 54 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||