Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01749 | Date 30/05/2022 |
| Token No | SM/25-26/958 21/04/2025 | Serial | 053 |
| Patient Name | Mr. SUNIL CHANDRA DAS | Contact No | 9748140811 |
| Address | 11/A/1 PRABASHNAGAR SERAMPORE 712249 | Age | 75 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 160/80 mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||