Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05090 | Date 08/09/2023 |
| Token No | SM/24-25/35164 05/02/2025 | Serial | 056 |
| Patient Name | Mr. SUKANTA DAS | Contact No | 9749352112 |
| Address | 9/A/2 PRABASHNAGAR SERAMPORE 712249 | Age | 27 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||