Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04154 | Date 10/05/2023 |
| Token No | SM/25-26/6843 25/08/2025 | Serial | 077 |
| Patient Name | Mr. MRITYUNJOY MAZUMDER | Contact No | 9932850114 |
| Address | DAKSIN CHADRA SREEPUR BAZAR HOOGHLY 712514 | Age | 49 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||