Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04525 | Date 18/07/2023 |
| Token No | SM/25-26/22645 26/10/2026 | Serial | 035 |
| Patient Name | Mr. TAPAN DASGUPTA | Contact No | 9874726933 |
| Address | 34/B/1/B B B GHOSH ROAD SERAMPORE 712203 | Age | 65 Years,10 Months,6 Days Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 129/71 mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||