Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06505 | Date 01/04/2024 |
| Token No | SM/24-25/34796 29/01/2025 | Serial | 025 |
| Patient Name | Mr. PRADIP SIL | Contact No | 8910690486 |
| Address | 65/7/4/A MAHESH JANNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 43 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||