Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04396 | Date 30/06/2023 |
| Token No | SM/25-26/7870 11/09/2025 | Serial | 077 |
| Patient Name | Mr. AKASH VERMA | Contact No | 8481053082 |
| Address | 13/36 B B GHOSH ROAD SERAMPORE 712203 | Age | 17 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 33 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||