Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05117 | Date 11/09/2023 |
| Token No | SM/25-26/5945 06/08/2025 | Serial | 063 |
| Patient Name | Mr. DEO NARAYAN DAS | Contact No | 9804420801 |
| Address | 75 NEW MAHESH SERAMPORE 712203 | Age | 36 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||