Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06100 | Date 25/01/2024 |
| Token No | SM/24-25/32297 05/12/2024 | Serial | 028 |
| Patient Name | Mr. DANKEL DAS | Contact No | 9830934375 |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 25 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 90 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||