Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09700 | Date 06/08/2025 |
| Token No | SM/25-26/5921 06/08/2025 | Serial | 039 |
| Patient Name | Mr. MALAY KUMAR DUTTA | Contact No | 9432071819 |
| Address | 3/E D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 57 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||