Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01830 | Date 06/06/2022 |
| Token No | SM/25-26/8507 25/09/2025 | Serial | 012 |
| Patient Name | Mr. BIJOY CHAKRABORTY | Contact No | 8777250282 |
| Address | A/12/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 61 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/60 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||