Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02763 | Date 23/09/2022 |
| Token No | SM/25-26/10601 17/11/2025 | Serial | 076 |
| Patient Name | Mr. RATAN KUMAR BHATTACHARYA | Contact No | 8697302298 |
| Address | D/159/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 64 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||