Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06785 | Date 14/05/2024 |
| Token No | SM/25-26/602 11/04/2025 | Serial | 014 |
| Patient Name | Mr. AKASH ROY | Contact No | 8617270696 |
| Address | 34/B/63 B B GHOSH ROAD SERAMPORE 712203 | Age | 26 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||