Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07584 | Date 05/08/2024 |
| Token No | SM/24-25/30836 09/11/2024 | Serial | 064 |
| Patient Name | Mr. SWAPAN BANIK | Contact No | 9331651249 |
| Address | 34/B/33 B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 66 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||