Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04690 | Date 03/08/2023 |
| Token No | SM/25-26/12227 20/12/2025 | Serial | 067 |
| Patient Name | Mr. MRITYUNJOY CHATTERJEE | Contact No | 9836372751 |
| Address | 30 PRABASHNAGAR SERAMPORE 712249 | Age | 72 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||