Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03679 | Date 31/01/2023 |
| Token No | SM/24-25/37497 27/03/2025 | Serial | 003 |
| Patient Name | Mr. RABI SAHA | Contact No | 8240192072 |
| Address | 34/B/57 B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 71 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||