Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07203 | Date 28/06/2024 |
| Token No | SM/25-26/5652 01/08/2025 | Serial | 012 |
| Patient Name | Mr. SUPRATIM PAL | Contact No | 9831524368 |
| Address | DOSTI LANE SERAMPORE 712201 | Age | 28 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||