Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08621 | Date 29/01/2025 |
| Token No | SM/25-26/5194 23/07/2025 | Serial | 035 |
| Patient Name | Mr. SOMNATH DHARA | Contact No | 9330825257 |
| Address | 100 NEW MAHESH SERAMPORE 712203 | Age | 37 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 110/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||