Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10049 | Date 11/10/2025 |
| Token No | SM/25-26/9217 16/10/2025 | Serial | 017 |
| Patient Name | Mr. DIPAK SAHA | Contact No | 7003862558 |
| Address | D N BHATTACHARYA SARANI PRAVASHNAGAR SERAMPORE 712249 | Age | 55 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||