Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10230 | Date 27/11/2025 |
| Token No | SM/25-26/12547 30/12/2025 | Serial | 050 |
| Patient Name | Mr. BITTU CHOWDHARY | Contact No | 6289092136 |
| Address | 55 RAILAND ROAD SERAMPORE 712202 | Age | 18 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||