Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08677 | Date 06/02/2025 |
| Token No | SM/24-25/35246 06/02/2025 | Serial | 055 |
| Patient Name | Mr. RATHINDRA NATH KAYAL | Contact No | 9804896837 |
| Address | D/169/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 68 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||