Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08266 | Date 23/11/2024 |
| Token No | SM/24-25/37293 22/03/2025 | Serial | 032 |
| Patient Name | Mr. RAJ JAISWARA | Contact No | 9007116352 |
| Address | B/67/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 29 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||