Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02211 | Date 13/07/2022 |
| Token No | SM/25-26/9366 18/10/2025 | Serial | 012 |
| Patient Name | Mr. BISWAJIT DHAR | Contact No | 7059243265 |
| Address | 32 B B GHOSH ROAD SERAMPORE 712203 | Age | 25 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 89 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||