Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02193 | Date 12/07/2022 |
| Token No | SM/25-26/12435 29/12/2025 | Serial | 004 |
| Patient Name | Mr. RABINDRA CH DEY | Contact No | 9038904885 |
| Address | GHORAMARA PURBAPARA SERAMPORE 712203 | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/60 mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||