Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09509 | Date 28/06/2025 |
| Token No | SM/25-26/4081 28/06/2025 | Serial | 017 |
| Patient Name | Mr. PARESHNATH CHATTERJEE | Contact No | 6290655163 |
| Address | 11/G PRAVASHNAGAR SERAMPORE 712249 | Age | 69 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||