Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08900 | Date 18/03/2025 |
| Token No | SM/24-25/37049 18/03/2025 | Serial | 021 |
| Patient Name | Mr. BIREN DAS | Contact No | 7890757105 |
| Address | 8/A/2/19 PRABASHNAGAR SERAMPORE 712249 | Age | 75 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||