Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09473 | Date 18/06/2025 |
| Token No | SM/25-26/3677 18/06/2025 | Serial | 026 |
| Patient Name | Mr. MITHUN SIL | Contact No | 9231307407 |
| Address | 219 2 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 41 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||