Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08214 | Date 15/11/2024 |
| Token No | SM/25-26/10772 21/11/2025 | Serial | 018 |
| Patient Name | Mr. SHATRUGHAN RAM | Contact No | 7890496278 |
| Address | 30/E GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 31 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||