Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04525 | Date 18/07/2023 |
| Token No | SM/25-26/20668 27/08/2026 | Serial | 033 |
| Patient Name | Mr. TAPAN DASGUPTA | Contact No | 9874726933 |
| Address | 34/B/1/B B B GHOSH ROAD SERAMPORE 712203 | Age | 65 Years,8 Months,7 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/85 mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||