Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02806 | Date 28/09/2022 |
| Token No | SM/25-26/10091 07/11/2025 | Serial | 029 |
| Patient Name | Mr. AMIYA KUMAR MUKHOPADHYAY | Contact No | 8017870788 |
| Address | 13/9 B B GHOSH ROAD SERAMPORE 712203 | Age | 67 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 110/60 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||