Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03611 | Date 16/01/2023 |
| Token No | SM/24-25/29066 04/10/2024 | Serial | 029 |
| Patient Name | Mr. TAPAN DAS | Contact No | 6291495526 |
| Address | 3 DCRUZE GARDEN LANE MALLICKPARA SERAMPORE 712203 | Age | 54 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||