Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05590 | Date 06/11/2023 |
| Token No | SM/25-26/8044 15/09/2025 | Serial | 060 |
| Patient Name | Mr. ANANDA NAYEK | Contact No | 6297405556 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 30 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||