Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02061 | Date 27/06/2022 |
| Token No | SM/24-25/35436 10/02/2025 | Serial | 007 |
| Patient Name | Mr. SAMBHU NATH GHATAK | Contact No | 9681537932 |
| Address | 65/16 WEST JANNAGAR ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 80 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||