Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09956 | Date 13/09/2025 |
| Token No | SM/25-26/7984 13/09/2025 | Serial | 054 |
| Patient Name | Mr. BABLU SATTU | Contact No | |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 33 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||