Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06945 | Date 05/06/2024 |
| Token No | SM/25-26/7642 08/09/2025 | Serial | 072 |
| Patient Name | Mr. BAPI MITRA | Contact No | 8240532423 |
| Address | 34B/36 B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 41 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||