Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04022 | Date 06/04/2023 |
| Token No | SM/25-26/3188 09/06/2025 | Serial | 013 |
| Patient Name | Mr. AKASH BHUIYA | Contact No | 7439239649 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 27 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||