Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10338 | Date 29/12/2025 |
| Token No | SM/25-26/12458 29/12/2025 | Serial | 027 |
| Patient Name | Mr. JAYANTA SAHA | Contact No | 7003862558 |
| Address | DINEN BHATTACHARYA SARANI PRAVASHNAGAR SERAMPORE 712249 | Age | 34 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||