Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05075 | Date 05/09/2023 |
| Token No | SM/25-26/22633 26/10/2026 | Serial | 023 |
| Patient Name | Mr. BISWAJIT BHOWMICK | Contact No | 8981116035 |
| Address | 17/B 2NO COLONY SERAMPORE 712203 | Age | 57 Years,8 Months,23 Days Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||