Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01765 | Date 30/05/2022 |
| Token No | SM/25-26/6307 13/08/2025 | Serial | 044 |
| Patient Name | Mr. GANESH DAS MUNSI | Contact No | 9330080010 |
| Address | 65/22/7 PRABASHNAGAR SERAMPORE 712249 | Age | 66 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||