Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 10120 | Date 31/10/2025 |
| Token No | SM/25-26/10433 15/11/2025 | Serial | 012 |
| Patient Name | Mr. SUSHIL GHOSH | Contact No | 9674976881 |
| Address | 171 2NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 150/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||