Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08899 | Date 17/03/2025 |
| Token No | SM/24-25/37028 17/03/2025 | Serial | 071 |
| Patient Name | Mr. BIPUL SARKAR | Contact No | 9874380848 |
| Address | 10/T DOCTOR BAGAN LANE SERAMPORE 712201 | Age | 48 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||