Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01426 | Date 15/04/2020 |
| Token No | SM/24-25/31080 13/11/2024 | Serial | 075 |
| Patient Name | Mr. GOUTAM BANERJEE | Contact No | 9831538457 |
| Address | 13/53 B B GHOSH ROAD PRABASHNAGAR SERAMPORE | Age | 67 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||