Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02576 | Date 26/08/2022 |
| Token No | SM/25-26/5990 07/08/2025 | Serial | 035 |
| Patient Name | Mr. SUBASH CHANDRA GOSWAMI | Contact No | 9433390536 |
| Address | C/135/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 72 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||