Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08670 | Date 05/02/2025 |
| Token No | SM/25-26/4127 30/06/2025 | Serial | 038 |
| Patient Name | Mr. KAMAL KUMAR MALI | Contact No | 9830577661 |
| Address | 57/22/E S P MUKHERJEE SARANI SERAMPORE 712201 | Age | 62 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 160/100 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||