Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02940 | Date 19/10/2022 |
| Token No | SM/25-26/7828 11/09/2025 | Serial | 035 |
| Patient Name | Mr. SUKANTA GHOSHAL | Contact No | 9433640502 |
| Address | 8/A/2/17 PRABASHNAGAR SERAMPORE 712249 | Age | 51 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||