Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09464 | Date 18/06/2025 |
| Token No | SM/25-26/3658 18/06/2025 | Serial | 007 |
| Patient Name | Mr. GANESH CHANDRA RAY | Contact No | 9432224938 |
| Address | 34/B/14 B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 83 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||