Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02109 | Date 30/06/2022 |
| Token No | SM/25-26/9272 16/10/2025 | Serial | 072 |
| Patient Name | Mr. SHANKAR CHANDRA PRAMANIK | Contact No | 9163691019 |
| Address | 165/D PRABASHNAGAR SERAMPORE 712249 | Age | 47 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||