Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08262 | Date 22/11/2024 |
| Token No | SM/25-26/10544 17/11/2025 | Serial | 019 |
| Patient Name | Mr. RAMJIT BHUIYA | Contact No | 9163182768 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 38 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||