Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02083 | Date 28/06/2022 |
| Token No | SM/25-26/9514 24/10/2025 | Serial | 040 |
| Patient Name | Mr. SABYASACHI BANIK | Contact No | 9163193266 |
| Address | 34/B/64/A B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 44 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||