Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00958 | Date 14/02/2020 |
| Token No | SM/25-26/6918 26/08/2025 | Serial | 021 |
| Patient Name | Mr. AJAY BHUIYA | Contact No | 7439239649 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||