Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00871 | Date 05/02/2020 |
| Token No | SM/25-26/10073 07/11/2025 | Serial | 011 |
| Patient Name | Mr. SHIB BHUNIYA | Contact No | 9875623246 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 16 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 28 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||