Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07733 | Date 23/08/2024 |
| Token No | SM/24-25/27130 23/08/2024 | Serial | 045 |
| Patient Name | Mr. SHANKHADEEP PAUL | Contact No | 9334048365 |
| Address | 4A 4TH FLOOR BLOCK B 1B D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 29 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||