Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03174 | Date 17/11/2022 |
| Token No | SM/24-25/32581 10/12/2024 | Serial | 011 |
| Patient Name | Mr. PRAKASH BHUIYA | Contact No | 6291494838 |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 26 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||