Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 02015 | Date 23/06/2022 |
| Token No | SM/25-26/22622 26/10/2026 | Serial | 012 |
| Patient Name | Mr. PRAKASH CHANDRA ROY | Contact No | 9804935828 |
| Address | 240 MAHESH COLONY SERAMPORE HOOGHLY 712202 | Age | 65 Years,9 Months,23 Days Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/70 mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||