Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07116 | Date 25/06/2024 |
| Token No | SM/25-26/4601 12/07/2025 | Serial | 022 |
| Patient Name | Mr. KANCHAN BISWAS | Contact No | 7620339860 |
| Address | BHOLADANGA GAYESHPUR SANTIPUR NADIA 741404 | Age | 29 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||