Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08663 | Date 05/02/2025 |
| Token No | SM/24-25/35115 05/02/2025 | Serial | 007 |
| Patient Name | Mr. SANJIT DUTTA | Contact No | 6291222979 |
| Address | 13/4 B B GHOSH ROAD SERAMPORE 712203 | Age | 39 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||