Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09039 | Date 03/04/2025 |
| Token No | SM/25-26/164 03/04/2025 | Serial | 046 |
| Patient Name | Mr. JIT DAS | Contact No | 6290857005 |
| Address | 9 B B GHOSH ROAD SERAMPORE 712203 | Age | 19 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||