Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09728 | Date 11/08/2025 |
| Token No | SM/25-26/6152 11/08/2025 | Serial | 017 |
| Patient Name | Mr. BISWANATH ROY | Contact No | 8583047025 |
| Address | 5/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 58 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||