Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03407 | Date 15/12/2022 |
| Token No | SM/25-26/9965 05/11/2025 | Serial | 022 |
| Patient Name | Mr. SITOL DOLUI | Contact No | 7890729052 |
| Address | 38B B B GHOSH ROAD SERAMPORE 712203 | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||