Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09336 | Date 24/05/2025 |
| Token No | SM/25-26/11163 29/11/2025 | Serial | 003 |
| Patient Name | Mr. RUBEL RAKSHIT | Contact No | 7278473155 |
| Address | 43/16/D PRAVASHNAGAR SERAMPORE 712249 | Age | 18 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||