Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00906 | Date 08/02/2020 |
| Token No | SM/25-26/10153 08/11/2025 | Serial | 048 |
| Patient Name | Mr. TAPAN MUKHERJEE | Contact No | 9163923681 |
| Address | 36 PRABASHNAGAR SERAMPORE 712249 | Age | 69 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||