Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10128 | Date 03/11/2025 |
| Token No | SM/25-26/9883 03/11/2025 | Serial | 056 |
| Patient Name | Mr. NITAI CHANDRA BERA | Contact No | 9830727957 |
| Address | 3/D DCRUZ GARDEN LANE SERAMPORE 712203 | Age | 67 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||