Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10060 | Date 15/10/2025 |
| Token No | SM/25-26/9137 15/10/2025 | Serial | 026 |
| Patient Name | Mr. NANDAN SANYAL | Contact No | 8902418459 |
| Address | 72A/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 45 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||