Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10162 | Date 11/11/2025 |
| Token No | SM/25-26/10292 11/11/2025 | Serial | 023 |
| Patient Name | Mr. SUKANTA SARKAR | Contact No | |
| Address | SERAMPORE | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||