Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09550 | Date 07/07/2025 |
| Token No | SM/25-26/6205 11/08/2025 | Serial | 070 |
| Patient Name | Mr. MUNNA CHOWDHURY | Contact No | 8100407988 |
| Address | 192 NEW MAHESH SERAMPORE 712203 | Age | 39 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||