Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01588 | Date 08/07/2020 |
| Token No | SM/25-26/10475 15/11/2025 | Serial | 054 |
| Patient Name | Mr. HIRALAL MAJUMDAR | Contact No | 8100713711 |
| Address | DINEN BHATTACHARYA SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 62 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||