Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 00235 | Date 24/09/2019 |
| Token No | SM/22-23/19456 05/03/2024 | Serial | 039 |
| Patient Name | Mr. RAMJI CHOUDHURI | Contact No | 8013551710 |
| Address | 56 NO ROY LAND ROAD SERAMPORE HOOGHLY 712201 | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||