Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09596 | Date 21/07/2025 |
| Token No | SM/25-26/5394 26/07/2025 | Serial | 026 |
| Patient Name | Mr. SUBASH SATU | Contact No | 7328094067 |
| Address | B B GHOSH ROAD HARIJAN BASTI SERAMPORE 712203 | Age | 23 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||