Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07687 | Date 16/08/2024 |
| Token No | SM/25-26/11737 09/12/2025 | Serial | 034 |
| Patient Name | Mr. BHIMA NAYAK | Contact No | 8622819777 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 28 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||