Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09451 | Date 14/06/2025 |
| Token No | SM/25-26/3511 14/06/2025 | Serial | 014 |
| Patient Name | Mr. ASHOKE MUKHERJEE | Contact No | 7890680427 |
| Address | 227/2 RAJYADHARPUR GOVT COLONY MALLICKPARA SERAMPORE 712203 | Age | 59 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||