Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09206 | Date 03/05/2025 |
| Token No | SM/25-26/1496 03/05/2025 | Serial | 033 |
| Patient Name | Mr. JITENDRA SINGH | Contact No | 7059397572 |
| Address | 8/B/7 D N BHATTACHARYA SARANI PRAVASHNAGAR SERAMPORE 712249 | Age | 41 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||