Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03329 | Date 06/12/2022 |
| Token No | SM/25-26/11971 15/12/2025 | Serial | 014 |
| Patient Name | Mr. ANJAY SIL | Contact No | 9163781969 |
| Address | 65/7/4/A CHAKLAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 51 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||