Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01560 | Date 04/05/2020 |
| Token No | SM/22-23/18557 12/02/2024 | Serial | 038 |
| Patient Name | Mr. KARTICK MONDAL | Contact No | 7003764989 |
| Address | 68 NEW MAHESH SERAMPORE 712203 | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||