Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08889 | Date 12/03/2025 |
| Token No | SM/24-25/36845 12/03/2025 | Serial | 033 |
| Patient Name | Mr. SUMIT SARKAR | Contact No | 9875476289 |
| Address | 19/B PRAVASHNAGAR SERAMPORE 712249 | Age | 32 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||