Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09848 | Date 01/09/2025 |
| Token No | SM/25-26/7190 01/09/2025 | Serial | 008 |
| Patient Name | Mr. DILIP PRAJAPATI | Contact No | 7890661266 |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||