Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02014 | Date 23/06/2022 |
| Token No | SM/25-26/4840 17/07/2025 | Serial | 017 |
| Patient Name | Mr. NIMAI GUHA | Contact No | 9062422485 |
| Address | 52 BATTACHARYA GARDEN LANE NABAGRAM MALLICKPARA SERAMPORE BAIDYABATI M 712203 | Age | 51 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||