Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08562 | Date 16/01/2025 |
| Token No | SM/24-25/34217 16/01/2025 | Serial | 057 |
| Patient Name | Mr. MANIK DEBNATH | Contact No | 9748466663 |
| Address | 20/C/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 44 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||