Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07399 | Date 09/07/2024 |
| Token No | SM/25-26/11389 03/12/2025 | Serial | 021 |
| Patient Name | Mr. CHANDAN ROY | Contact No | 9831156440 |
| Address | TALPUKUR RAJYADHARPUR SERAMPORE 712203 | Age | 51 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 106/64 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||