Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07556 | Date 01/08/2024 |
| Token No | SM/25-26/796 17/04/2025 | Serial | 030 |
| Patient Name | Mr. NAYAN DAS | Contact No | 8583814563 |
| Address | 43/46/L PRABASHNAGAR SERAMPORE 712249 | Age | 25 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||