Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 10148 | Date 07/11/2025 |
| Token No | SM/25-26/20698 29/08/2026 | Serial | 007 |
| Patient Name | Mr. BISWAJIT DEBNATH | Contact No | 6289931424 |
| Address | 3/49 MAHESH COLONY SERAMPORE 712201 | Age | 45 Years,4 Months,5 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 160/100 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||