Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09337 | Date 24/05/2025 |
| Token No | SM/25-26/2529 24/05/2025 | Serial | 020 |
| Patient Name | Mr. JITU BHUIYA | Contact No | 8777356086 |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 19 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||