Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08328 | Date 30/11/2024 |
| Token No | SM/24-25/32074 30/11/2024 | Serial | 033 |
| Patient Name | Mr. ASHOKE SEN | Contact No | 9038276226 |
| Address | 65/25/11/A/3 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 57 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||