Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09692 | Date 04/08/2025 |
| Token No | SM/25-26/10181 08/11/2025 | Serial | 076 |
| Patient Name | Mr. RATAN LAL KARMAKAR | Contact No | 9038398881 |
| Address | 98 1 NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 69 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 150/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||