Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07628 | Date 09/08/2024 |
| Token No | SM/25-26/11354 02/12/2025 | Serial | 016 |
| Patient Name | Mr. BUBAI SAHA | Contact No | 6291379122 |
| Address | 30/20 TARAPUKUR LANE SERAMPORE 712203 | Age | 29 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||