Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05843 | Date 11/12/2023 |
| Token No | SM/25-26/3669 18/06/2025 | Serial | 018 |
| Patient Name | Mr. SUNIL DAS | Contact No | 7890347094 |
| Address | 35/A B B GHOSH ROAD SERAMPORE 712203 | Age | 58 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||