Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07584 | Date 05/08/2024 |
| Token No | SM/25-26/22636 26/10/2026 | Serial | 026 |
| Patient Name | Mr. SWAPAN BANIK | Contact No | 9331651249 |
| Address | 34/B/33 B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 68 Years,9 Months,24 Days Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 136/82 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||