Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08516 | Date 07/01/2025 |
| Token No | SM/24-25/33836 07/01/2025 | Serial | 048 |
| Patient Name | Mr. GOBINDA ROY | Contact No | 9883037718 |
| Address | 65/25/55 PRABASHNAGAR CHAKLAPARA SERAMPORE 712249 | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||