Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00526 | Date 09/12/2019 |
| Token No | SM/25-26/12495 29/12/2025 | Serial | 064 |
| Patient Name | Mr. GANESH BHOWMICK | Contact No | 9477377439 |
| Address | 26/F/5 DINEN BHATTACHARJEE SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||