Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10198 | Date 20/11/2025 |
| Token No | SM/25-26/11436 04/12/2025 | Serial | 035 |
| Patient Name | Mr. RANJIT NANDA | Contact No | 9038841063 |
| Address | 65/19/2 WEST JANNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||