Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06113 | Date 29/01/2024 |
| Token No | SM/25-26/6612 20/08/2025 | Serial | 021 |
| Patient Name | Mr. LALMOHAN BHATTACHARJEE | Contact No | 9874880372 |
| Address | 43/16 PRAVASHNAGAR SERAMPORE 712249 | Age | 55 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||