Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 10186 | Date 17/11/2025 |
| Token No | SM/25-26/10569 17/11/2025 | Serial | 044 |
| Patient Name | Mr. SUBHASH MAJUMDAR | Contact No | 7667013307 |
| Address | 403 4TH FLOOR TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||