Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09923 | Date 10/09/2025 |
| Token No | SM/25-26/7853 11/09/2025 | Serial | 060 |
| Patient Name | Mr. NARAYAN SAMADDAR | Contact No | 9007339579 |
| Address | A/10/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 63 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||