Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01179 | Date 14/03/2020 |
| Token No | SM/25-26/4419 07/07/2025 | Serial | 014 |
| Patient Name | Mr. BHISHMA RANJAN SENGUPTA | Contact No | 9330614257 |
| Address | 13 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 74 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||