Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05762 | Date 30/11/2023 |
| Token No | SM/25-26/12236 20/12/2025 | Serial | 076 |
| Patient Name | Mr. SANJIB GOUR | Contact No | 8585018410 |
| Address | 23/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 44 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/82 mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||