Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02546 | Date 24/08/2022 |
| Token No | SM/25-26/11976 15/12/2025 | Serial | 019 |
| Patient Name | Mr. AYANDEEP GHOSH | Contact No | 9674974019 |
| Address | 2 NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 20 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||