Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07025 | Date 18/06/2024 |
| Token No | SM/25-26/3500 14/06/2025 | Serial | 003 |
| Patient Name | Mr. JOYDIP DAS | Contact No | 6296847700 |
| Address | 34B/51 B.B GHOSH ROAD SERAMPORE 712249 | Age | 25 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||