Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08897 | Date 17/03/2025 |
| Token No | SM/25-26/5899 06/08/2025 | Serial | 017 |
| Patient Name | Mr. RABINDRA NATH DUTTA | Contact No | 9883209266 |
| Address | 9/371/B B B GHOSH ROAD SERAMPORE 712203 | Age | 80 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 112/76 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||