Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08570 | Date 17/01/2025 |
| Token No | SM/24-25/34559 22/01/2025 | Serial | 037 |
| Patient Name | Mr. AVIJIT KARMAKAR | Contact No | 7044373781 |
| Address | 4 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 31 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||