Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01917 | Date 13/06/2022 |
| Token No | SM/25-26/20665 27/08/2026 | Serial | 030 |
| Patient Name | Mr. SUSANTA BHATTACHARJEE | Contact No | 7980699457 |
| Address | 24/A PRABASHNAGAR SERAMPORE 712249 | Age | 46 Years,7 Months,25 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/73 mmHg | Weight | 90 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||