Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00852 | Date 03/02/2020 |
| Token No | SM/25-26/5908 06/08/2025 | Serial | 026 |
| Patient Name | Mr. RAJU DEY | Contact No | 9748049232 |
| Address | 119 GURU GARDEN ROAD SERAMPORE 712249 | Age | 33 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||