Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07723 | Date 22/08/2024 |
| Token No | SM/25-26/5631 31/07/2025 | Serial | 032 |
| Patient Name | Mr. RABIN DAS | Contact No | 9874133474 |
| Address | 219 NEW MAHESH SERAMPORE 712203 | Age | 55 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||