Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08253 | Date 21/11/2024 |
| Token No | SM/25-26/2025 14/05/2025 | Serial | 072 |
| Patient Name | Mr. SANKAR SARKAR | Contact No | 6289513679 |
| Address | 43/32/C GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 52 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||