Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01581 | Date 07/07/2020 |
| Token No | SM/25-26/7722 10/09/2025 | Serial | 041 |
| Patient Name | Mr. OM PRAKASH SHAW | Contact No | 8820546205 |
| Address | 166 NEW MAHESH SERAMPORE 712203 | Age | 53 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||