Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07724 | Date 22/08/2024 |
| Token No | SM/25-26/12180 20/12/2025 | Serial | 020 |
| Patient Name | Mr. SUBHA DAS | Contact No | 8420987992 |
| Address | 219 NEW MAHESH SERAMPORE 712203 | Age | 24 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||