Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02628 | Date 05/09/2022 |
| Token No | SM/24-25/30077 24/10/2024 | Serial | 040 |
| Patient Name | Mr. SANKAR BHUIYA | Contact No | |
| Address | MINIUS QUARTER B B GHOSH ROAD SERAMPORE 712203 | Age | 39 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||