Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 04701 | Date 03/08/2023 |
| Token No | SM/25-26/4916 17/07/2025 | Serial | 093 |
| Patient Name | Mr. SUBHAJIT DUTTA | Contact No | 7687922694 |
| Address | 57/65 ROY LAND ROAD SERAMPORE 712201 | Age | 33 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||