Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08579 | Date 18/01/2025 |
| Token No | SM/24-25/36972 17/03/2025 | Serial | 015 |
| Patient Name | Mr. SHYAMAL DEY | Contact No | 7890500917 |
| Address | 65/28 WEST JANNAGAR ROAD, PRAVASHNAGAR SERAMPORE 712249 | Age | 66 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||