Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05509 | Date 27/10/2023 |
| Token No | SM/25-26/11543 06/12/2025 | Serial | 041 |
| Patient Name | Mr. ASIT DEBNATH | Contact No | 7439011228 |
| Address | 34B/52 B B GHOSH ROAD SERAMPORE 712203 | Age | 53 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/70 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||