Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 00235 | Date 24/09/2019 |
| Token No | SM/25-26/5298 24/07/2025 | Serial | 036 |
| Patient Name | Mr. RAMJI CHOUDHURI | Contact No | 8013551710 |
| Address | 56 NO ROY LAND ROAD SERAMPORE HOOGHLY 712201 | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||