Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01927 | Date 15/06/2022 |
| Token No | SM/24-25/28089 11/09/2024 | Serial | 045 |
| Patient Name | Mr. SURESH CHANDRA DAS | Contact No | 8583028841 |
| Address | 55A/12 M J ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 59 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 110/60 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||