Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00620 | Date 28/12/2019 |
| Token No | SM/22-23/17839 29/01/2024 | Serial | 003 |
| Patient Name | Mr. BHOLA DEY | Contact No | 9874269926 |
| Address | 119 GURUGARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 53 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||