Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07052 | Date 20/06/2024 |
| Token No | SM/25-26/3848 23/06/2025 | Serial | 007 |
| Patient Name | Mr. SUMAN HALDER | Contact No | 8013734819 |
| Address | 11/G/1 D N BHTTACHARYA SARANI PRAVASHNAGAR SERAMPORE 712249 | Age | 25 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 86 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||