Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02282 | Date 20/07/2022 |
| Token No | SM/25-26/12118 18/12/2025 | Serial | 031 |
| Patient Name | Mr. NARAYAN DUTTA | Contact No | 9748256289 |
| Address | 9/371/Q B B GHOSH ROAD MALLICKPARA SERAMPORE 712203 | Age | 58 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 150/80 mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||