Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04828 | Date 14/08/2023 |
| Token No | SM/25-26/10123 08/11/2025 | Serial | 018 |
| Patient Name | Mr. PRASANTA SAH | Contact No | 6291748148 |
| Address | 228 NEW MAHESH SERAMPORE 712203 | Age | 29 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||