Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08727 | Date 13/02/2025 |
| Token No | SM/24-25/35619 13/02/2025 | Serial | 026 |
| Patient Name | Mr. GOUTAM CHAKRABORTY | Contact No | |
| Address | SERAMPORE | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||