Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09173 | Date 25/04/2025 |
| Token No | SM/25-26/1174 25/04/2025 | Serial | 007 |
| Patient Name | Mr. MITHUN CHAKRABORTY | Contact No | 7890286552 |
| Address | 65/25/40 PRAVASHNAGAR SERAMPORE 712249 | Age | 43 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||