Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09717 | Date 08/08/2025 |
| Token No | SM/25-26/6078 08/08/2025 | Serial | 032 |
| Patient Name | Mr. ANIMESH CHAKRABORTY | Contact No | 9231303009 |
| Address | 2/207 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 42 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||