Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01647 | Date 23/05/2022 |
| Token No | SM/25-26/8942 11/10/2025 | Serial | 008 |
| Patient Name | Mr. AYANDEEP GHOSH | Contact No | 9674974019 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 20 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||