Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10387 | Date 22/01/2026 |
| Token No | SM/25-26/22640 26/10/2026 | Serial | 030 |
| Patient Name | Mr. ASHOKE MAITI | Contact No | 9836044308 |
| Address | 1/C D N BHATTACHARYA SARANI PRAVASHNAGAR SERAMPORE 712249 | Age | 73 Years,9 Months,23 Days Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/73 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||