Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09291 | Date 14/05/2025 |
| Token No | SM/25-26/2037 14/05/2025 | Serial | 084 |
| Patient Name | Mr. MEGAL DAS | Contact No | 7596923285 |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 31 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||