Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08007 | Date 09/10/2024 |
| Token No | SM/25-26/3650 17/06/2025 | Serial | 030 |
| Patient Name | Mr. ASIM BANIK | Contact No | 8777680512 |
| Address | 34/B/33 B B GHOSH ROAD SERAMPORE 712203 | Age | 47 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||