Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07310 | Date 02/07/2024 |
| Token No | SM/25-26/6651 21/08/2025 | Serial | 017 |
| Patient Name | Mr. SATYA PRASAD BHAGAT | Contact No | 9339579565 |
| Address | 14/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 20 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||