Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02980 | Date 22/10/2022 |
| Token No | SM/25-26/3777 20/06/2025 | Serial | 025 |
| Patient Name | Mr. PRABIR DAS | Contact No | 7980736472 |
| Address | WEST JANNAGAR ROAD CHAKLAPARA SERAMPORE 712249 | Age | 31 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||