Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08731 | Date 14/02/2025 |
| Token No | SM/24-25/36817 12/03/2025 | Serial | 005 |
| Patient Name | Mr. KHOKAN CHAKRABORTY | Contact No | 9830159319 |
| Address | 33/X TARAPUKUR GOVT QUARTERS MALLICKPARA SERAMPORE 712203 | Age | 58 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||