Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 08424 | Date 20/12/2024 |
| Token No | SM/24-25/37173 20/03/2025 | Serial | 056 |
| Patient Name | Mr. RAJDEEP BISWAS | Contact No | 6289309732 |
| Address | 2 NO RAI LAND ROAD SERAMPORE 712202 | Age | 25 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||