Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08748 | Date 19/02/2025 |
| Token No | SM/24-25/36135 27/02/2025 | Serial | 004 |
| Patient Name | Mr. HARISANKAR DEBNATH | Contact No | 9830535899 |
| Address | 8A/2/A PRAVASHNAGAR SERAMPORE 712249 | Age | 82 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||