Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 05792 | Date 04/12/2023 |
| Token No | SM/25-26/8179 18/09/2025 | Serial | 089 |
| Patient Name | Mr. NIKHILES CHATTERJEE | Contact No | 9830497372 |
| Address | 14/B SATISH CHANDRA GHOSH LANE SERAMPORE 712202 | Age | 72 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||