Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02664 | Date 09/09/2022 |
| Token No | SM/25-26/1445 02/05/2025 | Serial | 034 |
| Patient Name | Mr. BIKASH DUTTA | Contact No | |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 47 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||