Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03098 | Date 09/11/2022 |
| Token No | SM/25-26/6028 07/08/2025 | Serial | 073 |
| Patient Name | Mr. RABI RASUYA | Contact No | |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||