Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00749 | Date 17/01/2020 |
| Token No | SM/25-26/11042 26/11/2025 | Serial | 036 |
| Patient Name | Mr. RAVI BHUIYA | Contact No | 8981106159 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 34 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||