Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10020 | Date 07/10/2025 |
| Token No | SM/25-26/10232 10/11/2025 | Serial | 046 |
| Patient Name | Mr. DEBAJYOTI MUNSHI | Contact No | 9088988951 |
| Address | 1/B D CRUZE GARDEN LANE 712203 | Age | 69 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||