Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03576 | Date 04/01/2023 |
| Token No | SM/25-26/11477 05/12/2025 | Serial | 007 |
| Patient Name | Mr. SOUMEN MAJUMDAR | Contact No | 8100713711 |
| Address | D N BHATTACHARYA SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 86 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||