Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06978 | Date 11/06/2024 |
| Token No | SM/25-26/3157 06/06/2025 | Serial | 030 |
| Patient Name | Mr. RAJ MAJUMDER | Contact No | 9330534761 |
| Address | 65/25/37 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 21 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||