Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08454 | Date 26/12/2024 |
| Token No | SM/24-25/33232 26/12/2024 | Serial | 026 |
| Patient Name | Mr. SANJIB CHAKRABORTY | Contact No | 9062540284 |
| Address | 29/A PRAVASHNAGAR SERAMPORE 712249 | Age | 58 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||