Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09525 | Date 02/07/2025 |
| Token No | SM/25-26/4231 02/07/2025 | Serial | 011 |
| Patient Name | Mr. MANOJ KUMAR DEY | Contact No | 6290457984 |
| Address | 65/15 M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 27 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||