Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 05991 | Date 03/01/2024 |
| Token No | SM/25-26/5776 04/08/2025 | Serial | 033 |
| Patient Name | Mr. KSHITISH DEBNATH | Contact No | 9007652825 |
| Address | 1/313 MAHESH COLONY SERAMPORE 712202 | Age | 67 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/78 mmHg | Weight | 50 KG |
| Pulse Rate | 86 / min | Height | cm |
| Diagnosis | |||