Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07067 | Date 20/06/2024 |
| Token No | SM/25-26/6604 20/08/2025 | Serial | 013 |
| Patient Name | Mr. RAMESH SHAW | Contact No | 8777256374 |
| Address | 65/19/16 PRAVASHNAGAR SERAMPORE 712249 | Age | 48 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||