Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00395 | Date 19/11/2019 |
| Token No | SM/24-25/32305 05/12/2024 | Serial | 036 |
| Patient Name | Mr. PRADIP SINGH | Contact No | 9330313348 |
| Address | 20/H D N BHATTACHARYA SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 49 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||