Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05488 | Date 21/10/2023 |
| Token No | SM/25-26/11406 04/12/2025 | Serial | 005 |
| Patient Name | Mr. SHUDHANSU NAYAK | Contact No | 8961007554 |
| Address | 8 D N BHATTACHARYA SARANI SERAMPORE 712203 | Age | 16 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||