Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00212 | Date 21/09/2019 |
| Token No | SM/25-26/6557 19/08/2025 | Serial | 016 |
| Patient Name | Mr. BABAI NAYEK | Contact No | 9748136605 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 22 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||