Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03680 | Date 31/01/2023 |
| Token No | SM/25-26/8041 15/09/2025 | Serial | 057 |
| Patient Name | Mr. TANMOY DUTTA | Contact No | 9330102300 |
| Address | 43/24/A PRAVASHNAGAR SERAMPORE 712249 | Age | 42 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||