Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07026 | Date 18/06/2024 |
| Token No | SM/25-26/3504 14/06/2025 | Serial | 007 |
| Patient Name | Mr. HARSHADEEP DEY | Contact No | 9433278155 |
| Address | 8/B/5 PRAVASHNAGAR SERAMPORE 712249 | Age | 19 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||