Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02994 | Date 29/10/2022 |
| Token No | SM/24-25/27764 05/09/2024 | Serial | 048 |
| Patient Name | Mr. GOUTAM DOLUI | Contact No | 9831331158 |
| Address | 38/A B B GHOSH ROAD MALLICKPARA SERAMPORE 712203 | Age | 24 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||