Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07267 | Date 29/06/2024 |
| Token No | SM/25-26/22688 28/10/2026 | Serial | 005 |
| Patient Name | Mr. SANJOY DEBNATH | Contact No | 7439011228 |
| Address | 34/B/52 B B GHOSH ROAD SERAMPORE 712203 | Age | 34 Years,9 Months,2 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 144/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||