Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09799 | Date 22/08/2025 |
| Token No | SM/25-26/6747 22/08/2025 | Serial | 025 |
| Patient Name | Mr. SOMNATH DEY | Contact No | 8482013883 |
| Address | 65/28 WEST JANNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 28 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||