Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07647 | Date 12/08/2024 |
| Token No | SM/24-25/26469 12/08/2024 | Serial | 004 |
| Patient Name | Mr. BABU DAS | Contact No | |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 44 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||