Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00628 | Date 30/12/2019 |
| Token No | SM/24-25/34483 21/01/2025 | Serial | 057 |
| Patient Name | Mr. RAJU CHOWDHURY | Contact No | 9830844995 |
| Address | 36/X TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 47 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||