Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08563 | Date 16/01/2025 |
| Token No | SM/24-25/34221 16/01/2025 | Serial | 061 |
| Patient Name | Mr. TAPAS SAHA | Contact No | |
| Address | 72/B 1NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||