Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06577 | Date 18/04/2024 |
| Token No | SM/25-26/7110 29/08/2025 | Serial | 026 |
| Patient Name | Mr. ANIL KUMAR DAS | Contact No | 9007611827 |
| Address | 244/2 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 72 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||