Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06527 | Date 03/04/2024 |
| Token No | SM/24-25/36126 25/02/2025 | Serial | 029 |
| Patient Name | Mr. SURIYADIP BANIK | Contact No | 8420797228 |
| Address | 24 ER PALLY SERAMPORE 712203 | Age | 18 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 73 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||