Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09860 | Date 01/09/2025 |
| Token No | SM/25-26/7249 01/09/2025 | Serial | 067 |
| Patient Name | Mr. SWAPAN PAL | Contact No | 9231340800 |
| Address | 199/1 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||