Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07065 | Date 20/06/2024 |
| Token No | SM/25-26/3863 23/06/2025 | Serial | 022 |
| Patient Name | Mr. BINAY SHAW | Contact No | 7596990486 |
| Address | 65/19/14 PRAVASHNAGAR SERAMPORE 712249 | Age | 29 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||