Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05287 | Date 29/09/2023 |
| Token No | SM/25-26/7822 11/09/2025 | Serial | 029 |
| Patient Name | Mr. RAJU SWAMI | Contact No | 8961298627 |
| Address | BLOCK A B B GHOSH ROAD SERAMPORE 712203 | Age | 49 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/90 mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||