Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00371 | Date 14/11/2019 |
| Token No | SM/25-26/10807 22/11/2025 | Serial | 022 |
| Patient Name | Mr. RAHUL KARMAKAR | Contact No | 9330372959 |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 26 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||