Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08293 | Date 26/11/2024 |
| Token No | SM/25-26/6176 11/08/2025 | Serial | 041 |
| Patient Name | Mr. DEBASHISH DAS | Contact No | 9674397165 |
| Address | 1/106 1 NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||