Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01516 | Date 29/04/2020 |
| Token No | SM/25-26/8992 11/10/2025 | Serial | 058 |
| Patient Name | Mr. KARTICK CHANDRA DAS | Contact No | 6291317355 |
| Address | 1/B PRABASHNAGAR SERAMPORE 712249 | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||