Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06289 | Date 15/02/2024 |
| Token No | SM/25-26/8513 25/09/2025 | Serial | 018 |
| Patient Name | Mr. BISWANATH BISWAS | Contact No | 9433688501 |
| Address | 43/38 PURBAPARA PRAVASHNAGAR SERAMPORE 712249 | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 150/100 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||