Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09260 | Date 09/05/2025 |
| Token No | SM/25-26/1817 09/05/2025 | Serial | 044 |
| Patient Name | Mr. PRASANT KUMAR SAH | Contact No | 6290135447 |
| Address | 228 B B GHOSH ROAD MALLICKPARA SERAMPORE 712203 | Age | 29 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||