Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08074 | Date 22/10/2024 |
| Token No | SM/25-26/12127 18/12/2025 | Serial | 040 |
| Patient Name | Mr. ARBIND PRASAD SHAW | Contact No | 8420133669 |
| Address | 61/1/A SRI KRISHNA NAGAR SERAMPORE 712249 | Age | 59 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||