Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08752 | Date 19/02/2025 |
| Token No | SM/24-25/35887 19/02/2025 | Serial | 052 |
| Patient Name | Mr. MAHADEB KUNDU | Contact No | 9883122390 |
| Address | 13/14 B B GHOSH ROAD SERAMPORE 712203 | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||