Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09330 | Date 22/05/2025 |
| Token No | SM/25-26/2417 22/05/2025 | Serial | 023 |
| Patient Name | Mr. SAYAN DEY | Contact No | 7980912350 |
| Address | 65/5/12 M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 21 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||