Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09800 | Date 25/08/2025 |
| Token No | SM/25-26/6774 25/08/2025 | Serial | 008 |
| Patient Name | Mr. SWAPAN KUMARI CHAKRABORTY | Contact No | 8420366515 |
| Address | 47/A SERAMPORE COLONY SERAMPORE 712203 | Age | 73 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||