Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05780 | Date 02/12/2023 |
| Token No | SM/25-26/2853 31/05/2025 | Serial | 022 |
| Patient Name | Mr. PANCHANAN DAS | Contact No | 8013868375 |
| Address | 65/25/23 MAHESH JANNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 61 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 170/100 mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||