Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05009 | Date 31/08/2023 |
| Token No | SM/25-26/7492 04/09/2025 | Serial | 064 |
| Patient Name | Mr. TANMOY BERA | Contact No | 9330529160 |
| Address | 3/D DCRUZ GARDEN LANE SERAMPORE 712203 | Age | 37 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||