Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03661 | Date 28/01/2023 |
| Token No | SM/25-26/7138 29/08/2025 | Serial | 054 |
| Patient Name | Mr. TINKARI DUTTA | Contact No | |
| Address | SERAMPORE | Age | 46 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||