Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05940 | Date 26/12/2023 |
| Token No | SM/25-26/5542 30/07/2025 | Serial | 008 |
| Patient Name | Mr. LALU MONDAL | Contact No | 7001144624 |
| Address | 38/F B B GHOSH ROAD SERAMPORE 712203 | Age | 52 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 200/100 mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||