Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00468 | Date 26/11/2019 |
| Token No | SM/25-26/8701 03/10/2025 | Serial | 024 |
| Patient Name | Mr. RANJIT SINGH | Contact No | 9163765590 |
| Address | 13/40 B B GHOSH ROAD SERAMPORE 712203 | Age | 29 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||