Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09873 | Date 03/09/2025 |
| Token No | SM/25-26/11941 13/12/2025 | Serial | 086 |
| Patient Name | Mr. PRITAM CHAKRABORTY | Contact No | 9681245741 |
| Address | 43/17 PRAVASHNAGAR SERAMPORE 712249 | Age | 37 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||