Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01901 | Date 13/06/2022 |
| Token No | SM/25-26/12365 26/12/2025 | Serial | 001 |
| Patient Name | Mr. TAPAN KUMAR BHATTACHARYA | Contact No | 9123939766 |
| Address | 159X TARPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 52 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||