Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09835 | Date 29/08/2025 |
| Token No | SM/25-26/7851 11/09/2025 | Serial | 058 |
| Patient Name | Mr. RAJAT MUKHERJEE | Contact No | 7890190654 |
| Address | 65/25/22 M J ROAD SERAMPORE 712249 | Age | 27 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||