Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04249 | Date 29/05/2023 |
| Token No | SM/24-25/26670 16/08/2024 | Serial | 005 |
| Patient Name | Mr. TULSI NAYAK | Contact No | 8622819777 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 31 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||