Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09659 | Date 28/07/2025 |
| Token No | SM/25-26/5499 28/07/2025 | Serial | 094 |
| Patient Name | Mr. SOUMEN MONDAL | Contact No | |
| Address | SERAMPORE | Age | 32 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||