Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09018 | Date 02/04/2025 |
| Token No | SM/25-26/20646 27/08/2026 | Serial | 011 |
| Patient Name | Mr. KALINDAR RAM | Contact No | 7667617809 |
| Address | NEW MAHESH SERAMPORE 712203 | Age | 51 Years,6 Months,5 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||