Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08434 | Date 21/12/2024 |
| Token No | SM/25-26/5253 23/07/2025 | Serial | 094 |
| Patient Name | Mr. ABHISEK MONDAL | Contact No | 7044743047 |
| Address | 68 NEW MAHESH SERAMPORE 712203 | Age | 23 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||