Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08731 | Date 14/02/2025 |
| Token No | SM/25-26/3651 17/06/2025 | Serial | 031 |
| Patient Name | Mr. KHOKAN CHAKRABORTY | Contact No | 9830159319 |
| Address | 33/X TARAPUKUR GOVT QUARTERS MALLICKPARA SERAMPORE 712203 | Age | 58 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 150/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||