Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09358 | Date 29/05/2025 |
| Token No | SM/25-26/2734 29/05/2025 | Serial | 005 |
| Patient Name | Mr. BALAI PATRA | Contact No | 8274881374 |
| Address | D N BHATTACHARYA SARANI PRAVASHNAGAR SERAMPORE 712249 | Age | 71 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||