Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04838 | Date 17/08/2023 |
| Token No | SM/25-26/2846 31/05/2025 | Serial | 015 |
| Patient Name | Mr. AJAY RABIDAS | Contact No | 6290682562 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 25 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||