Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07723 | Date 22/08/2024 |
| Token No | SM/24-25/27013 22/08/2024 | Serial | 017 |
| Patient Name | Mr. RABIN DAS | Contact No | 9874133474 |
| Address | 219 NEW MAHESH SERAMPORE 712203 | Age | 55 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||