Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07315 | Date 02/07/2024 |
| Token No | SM/25-26/9375 18/10/2025 | Serial | 021 |
| Patient Name | Mr. SOUMYADIP DEY | Contact No | 9433412058 |
| Address | 65/25/27 WEST JANNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 18 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||