Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10142 | Date 05/11/2025 |
| Token No | SM/25-26/9995 05/11/2025 | Serial | 052 |
| Patient Name | Mr. PRABIR KAYAL | Contact No | 9239258550 |
| Address | 34B/4A B B GHOSH ROAD MALLICKPARA SERAMPORE 712203 | Age | 59 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||