Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08222 | Date 18/11/2024 |
| Token No | SM/25-26/20686 28/08/2026 | Serial | 006 |
| Patient Name | Mr. KAMAL KRISHNA BANIK | Contact No | 9093013759 |
| Address | 34/B/33 B B GHOSH ROAD SERAMPORE 712203 | Age | 66 Years,5 Months,7 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||