Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06568 | Date 15/04/2024 |
| Token No | SM/25-26/5822 04/08/2025 | Serial | 079 |
| Patient Name | Mr. GOURANGA DEY | Contact No | 9088430844 |
| Address | 47 SERAMPORE COLONY SERAMPORE M 712203 | Age | 70 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||