Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09042 | Date 03/04/2025 |
| Token No | SM/25-26/193 03/04/2025 | Serial | 075 |
| Patient Name | Mr. RAJU GHOSHAL | Contact No | 7439553165 |
| Address | 140/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 26 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||