Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07113 | Date 24/06/2024 |
| Token No | SM/25-26/4597 12/07/2025 | Serial | 018 |
| Patient Name | Mr. HIRA SINGH | Contact No | 8335825429 |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 24 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||