Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07318 | Date 02/07/2024 |
| Token No | SM/25-26/6654 21/08/2025 | Serial | 020 |
| Patient Name | Mr. SUSHANTA DUTTA | Contact No | 9051969976 |
| Address | 65/7/9 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 18 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||