Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10184 | Date 15/11/2025 |
| Token No | SM/25-26/11061 27/11/2025 | Serial | 014 |
| Patient Name | Mr. SAHIBA SRIWASTAV | Contact No | 7978421672 |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 39 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||