Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03332 | Date 06/12/2022 |
| Token No | SM/25-26/2793 30/05/2025 | Serial | 010 |
| Patient Name | Mr. BISWANATH KOLEY | Contact No | 8697009563 |
| Address | 9/A TARAPUKUR COLONY SERAMPORE 712203 | Age | 52 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/80 mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||