Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08308 | Date 28/11/2024 |
| Token No | SM/25-26/3118 05/06/2025 | Serial | 076 |
| Patient Name | Mr. SURAJ KUMAR | Contact No | 7979855364 |
| Address | B B GHOSH ROAD SARADA PALLY SERAMPORE 712203 | Age | 36 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||