Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09545 | Date 07/07/2025 |
| Token No | SM/25-26/4423 07/07/2025 | Serial | 018 |
| Patient Name | Mr. SOUMOJIT MUKHERJEE | Contact No | 8584886460 |
| Address | 30/J/1 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 26 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||