Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04545 | Date 19/07/2023 |
| Token No | SM/24-25/37627 29/03/2025 | Serial | 024 |
| Patient Name | Mr. SOUMEN DALAPATI | Contact No | 7890495537 |
| Address | 65/25/50 MAHESH JANNAGAR ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 39 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||