Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02029 | Date 23/06/2022 |
| Token No | SM/25-26/22646 26/10/2026 | Serial | 036 |
| Patient Name | Mr. RAMEN DASGUPTA | Contact No | 9088953233 |
| Address | 34/B/2 SUKANTA PALLY SERAMPORE 712203 | Age | 70 Years,5 Months,28 Days Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 136/68 mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||