Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02424 | Date 10/08/2022 |
| Token No | SM/25-26/9596 28/10/2025 | Serial | 013 |
| Patient Name | Mr. RANA ADHIKARI | Contact No | 8697362287 |
| Address | D N BHATTACHARYA SARANO PRABASHNAGAR SERAMPORE 712249 | Age | 21 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||