Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10119 | Date 31/10/2025 |
| Token No | SM/25-26/9734 31/10/2025 | Serial | 029 |
| Patient Name | Mr. PINTU HARI | Contact No | 6289933834 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 37 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||