Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07267 | Date 29/06/2024 |
| Token No | SM/24-25/34826 29/01/2025 | Serial | 055 |
| Patient Name | Mr. SANJOY DEBNATH | Contact No | 7439011228 |
| Address | 34/B/52 B B GHOSH ROAD SERAMPORE 712203 | Age | 33 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||