Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03122 | Date 11/11/2022 |
| Token No | SM/25-26/3763 20/06/2025 | Serial | 011 |
| Patient Name | Mr. SUBODH JHA | Contact No | 9874385378 |
| Address | 13/59 B B GHOSH ROAD SARADA PALLY SERAMPORE 712203 | Age | 49 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||