Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09177 | Date 26/04/2025 |
| Token No | SM/25-26/1490 03/05/2025 | Serial | 027 |
| Patient Name | Mr. SATYAPRIYA SIL | Contact No | 8910001251 |
| Address | 4/B RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 39 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/100 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||