Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03108 | Date 10/11/2022 |
| Token No | SM/25-26/11550 06/12/2025 | Serial | 048 |
| Patient Name | Mr. KHOKAN DAS | Contact No | 8621860624 |
| Address | 49 PRABASHNAGAR SERAMPORE 712249 | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||