Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10090 | Date 22/10/2025 |
| Token No | SM/25-26/9438 22/10/2025 | Serial | 029 |
| Patient Name | Mr. ASHOKE HAJRA | Contact No | 6289683383 |
| Address | 1/A D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 63 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||