Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01659 | Date 25/05/2022 |
| Token No | SM/25-26/12217 20/12/2025 | Serial | 057 |
| Patient Name | Mr. KARTTICK DAS | Contact No | 9804340064 |
| Address | 25 NEW MAHESH SERAMPORE 712203 | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||