Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05780 | Date 02/12/2023 |
| Token No | SM/25-26/7535 05/09/2025 | Serial | 025 |
| Patient Name | Mr. PANCHANAN DAS | Contact No | 8013868375 |
| Address | 65/25/23 MAHESH JANNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 61 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/90 mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||