Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08793 | Date 27/02/2025 |
| Token No | SM/24-25/36137 27/02/2025 | Serial | 006 |
| Patient Name | Mr. GOBINDA BANIK | Contact No | 9163710222 |
| Address | 34/B/44 B B GHOSH ROAD SERAMPORE 712203 | Age | 74 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||