Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05373 | Date 09/10/2023 |
| Token No | SM/25-26/338 07/04/2025 | Serial | 047 |
| Patient Name | Mr. PRADIP DAS | Contact No | 8017131672 |
| Address | 114 PRABASHNAGAR SERAMPORE 712249 | Age | 42 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||