Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09302 | Date 16/05/2025 |
| Token No | SM/25-26/2140 16/05/2025 | Serial | 033 |
| Patient Name | Mr. BIRJU PAL | Contact No | 8335062693 |
| Address | NEW MAHESH SERAMPORE 712203 | Age | 36 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||