Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05019 | Date 31/08/2023 |
| Token No | SM/25-26/11650 08/12/2025 | Serial | 022 |
| Patient Name | Mr. BIJOY RASUYA | Contact No | 7044752768 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 24 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||