Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07802 | Date 02/09/2024 |
| Token No | SM/24-25/35583 12/02/2025 | Serial | 015 |
| Patient Name | Mr. AKASH DEY | Contact No | 8240720733 |
| Address | 35/B B B GHOSH ROAD SERAMPORE 712203 | Age | 26 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||