Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05154 | Date 16/09/2023 |
| Token No | SM/25-26/7076 28/08/2025 | Serial | 085 |
| Patient Name | Mr. MILAN DOLUI | Contact No | 7044155752 |
| Address | 38/A B B GHOSH ROAD SERAMPORE 712203 | Age | 46 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||