Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05300 | Date 29/09/2023 |
| Token No | SM/25-26/2168 17/05/2025 | Serial | 018 |
| Patient Name | Mr. BABU SHILA | Contact No | 7044965585 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 45 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||