Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 00857 | Date 04/02/2020 |
| Token No | SM/25-26/6449 16/08/2025 | Serial | 017 |
| Patient Name | Mr. BIBHUPADA SARKAR | Contact No | 9874863723 |
| Address | 2 NO DOCTOR BAGAN LANE SERAMPORE 712203 | Age | 59 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 150/80 mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||