Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07547 | Date 30/07/2024 |
| Token No | SM/25-26/5667 01/08/2025 | Serial | 027 |
| Patient Name | Mr. MAHENDRA BHUIYA | Contact No | 9163468094 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 44 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||