Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07917 | Date 20/09/2024 |
| Token No | SM/25-26/9519 24/10/2025 | Serial | 045 |
| Patient Name | Mr. SOMNATH DUTTA | Contact No | 9239605505 |
| Address | 55/A/1/A WEST JANNAGAR SERAMPORE 712203 | Age | 44 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||