Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07979 | Date 04/10/2024 |
| Token No | SM/25-26/4132 30/06/2025 | Serial | 043 |
| Patient Name | Mr. PANCHANAN SARKAR | Contact No | 7439999097 |
| Address | 154/X TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 66 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||