Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09909 | Date 08/09/2025 |
| Token No | SM/25-26/7778 10/09/2025 | Serial | 097 |
| Patient Name | Mr. MATILAL SARKAR | Contact No | 9874312378 |
| Address | 19/B D N BHATTACHARJEE SARANI PRAVASHNAGAR SERAMPORE 712249 | Age | 59 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 148/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||