Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09560 | Date 12/07/2025 |
| Token No | SM/25-26/4625 12/07/2025 | Serial | 046 |
| Patient Name | Mr. DEBNATH CHATTERJEE | Contact No | 6290655163 |
| Address | 11/G PRABASHNAGAR SERAMPORE 712249 | Age | 59 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||