Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10184 | Date 15/11/2025 |
| Token No | SM/25-26/10562 17/11/2025 | Serial | 037 |
| Patient Name | Mr. SAHIBA SRIWASTAV | Contact No | 7978421672 |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 39 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||