Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02847 | Date 07/10/2022 |
| Token No | SM/25-26/5573 30/07/2025 | Serial | 039 |
| Patient Name | Mr. MAKHAN CHANDRA PAL | Contact No | 6289233323 |
| Address | 10A/5/1 PRABASHNAGAR SERAMPORE 712249 | Age | 69 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/60 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||