Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08564 | Date 16/01/2025 |
| Token No | SM/25-26/6263 12/08/2025 | Serial | 039 |
| Patient Name | Mr. MADHUSUDHAN PAL | Contact No | 9330683024 |
| Address | 132/A RAJYADHARPUR GOVT COLONY MALLICKPARA SERAMPORE 712203 | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||