Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06630 | Date 25/04/2024 |
| Token No | SM/24-25/21161 25/04/2024 | Serial | 036 |
| Patient Name | Mr. DEBABRATA BANIK | Contact No | 9903531051 |
| Address | 65/25/28 CHAKLAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 24 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||