Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09080 | Date 09/04/2025 |
| Token No | SM/25-26/508 09/04/2025 | Serial | 093 |
| Patient Name | Mr. NIRMAL BANERJEE | Contact No | 9007866314 |
| Address | B/95/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||