Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08987 | Date 28/03/2025 |
| Token No | SM/25-26/601 11/04/2025 | Serial | 013 |
| Patient Name | Mr. SAMAR BANIK | Contact No | 8697172208 |
| Address | 64 NEW MAHESH SERAMPORE 712203 | Age | 70 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||