Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09573 | Date 16/07/2025 |
| Token No | SM/25-26/4763 16/07/2025 | Serial | 020 |
| Patient Name | Mr. NIHAR DEBNATH | Contact No | 8100980070 |
| Address | 10/A PRABASHNAGAR SERAMPORE 712249 | Age | 45 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||