Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07573 | Date 03/08/2024 |
| Token No | SM/25-26/6120 09/08/2025 | Serial | 020 |
| Patient Name | Mr. INDRASEN KUMAR | Contact No | 7044691843 |
| Address | 20/A/2A PRAVASHNAGAR SERAMPORE 712249 | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||