Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03129 | Date 12/11/2022 |
| Token No | SM/25-26/419 09/04/2025 | Serial | 004 |
| Patient Name | Mr. ASIM BISWAS | Contact No | 9163575386 |
| Address | 43/27/A/9 PURBAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 65 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 120/70 mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||