Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05236 | Date 25/09/2023 |
| Token No | SM/25-26/10434 15/11/2025 | Serial | 013 |
| Patient Name | Mr. DEBRUP SAHA | Contact No | 7003359880 |
| Address | 16/H PRABASHNAGAR SERAMPORE 712249 | Age | 15 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||