Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06528 | Date 03/04/2024 |
| Token No | SM/24-25/37036 18/03/2025 | Serial | 008 |
| Patient Name | Mr. MOHIT PATEL MAHATO | Contact No | 8240243861 |
| Address | D/136/Y TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 18 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||