Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04913 | Date 22/08/2023 |
| Token No | SM/25-26/5204 23/07/2025 | Serial | 045 |
| Patient Name | Mr. SANTOSH PARASRAMPURIA | Contact No | 9836633374 |
| Address | 1/D D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 59 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||