Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07733 | Date 23/08/2024 |
| Token No | SM/25-26/763 16/04/2025 | Serial | 078 |
| Patient Name | Mr. SHANKHADEEP PAUL | Contact No | 9334048365 |
| Address | 4A 4TH FLOOR BLOCK B 1B D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 29 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||