Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07022 | Date 15/06/2024 |
| Token No | SM/25-26/3466 13/06/2025 | Serial | 019 |
| Patient Name | Mr. DIPANJAN DAS | Contact No | 9163198169 |
| Address | B-2 FL-301 SUBASHNAGAR HOUSING SERAMPORE 712249 | Age | 19 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||