Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03698 | Date 02/02/2023 |
| Token No | SM/25-26/12132 18/12/2025 | Serial | 045 |
| Patient Name | Mr. KAMALENDU ROY | Contact No | 9836689956 |
| Address | C/120/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 59 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 90 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||