Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05905 | Date 19/12/2023 |
| Token No | SM/25-26/8065 15/09/2025 | Serial | 081 |
| Patient Name | Mr. KAMAL PAL | Contact No | 7998312048 |
| Address | 53/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||