Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06694 | Date 03/05/2024 |
| Token No | SM/25-26/1591 05/05/2025 | Serial | 076 |
| Patient Name | Mr. BARAT BAURI | Contact No | 6289387481 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 33 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||