Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07259 | Date 29/06/2024 |
| Token No | SM/25-26/6060 08/08/2025 | Serial | 014 |
| Patient Name | Mr. JEET KHETRAPAL | Contact No | |
| Address | SERAMPORE | Age | 19 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||