Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09265 | Date 12/05/2025 |
| Token No | SM/25-26/4451 07/07/2025 | Serial | 046 |
| Patient Name | Mr. DEBI PRASAD MAZUMDAR | Contact No | 9547689678 |
| Address | FL-4B SREE DHAR BIHAR SERAMPORE 712203 | Age | 70 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 150/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||