Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10174 | Date 15/11/2025 |
| Token No | SM/25-26/10441 15/11/2025 | Serial | 020 |
| Patient Name | Mr. TARAK NATH DAS | Contact No | 9051135234 |
| Address | 22 PRAVASHNAGAR SERAMPORE 712249 | Age | 61 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||