Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04368 | Date 24/06/2023 |
| Token No | SM/25-26/6155 11/08/2025 | Serial | 020 |
| Patient Name | Mr. UTPAL RAKSHIT | Contact No | 7449504972 |
| Address | 43/16/D PRAVASHNAGAR SERAMPORE 712249 | Age | 58 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/80 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||