Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 10006 | Date 24/09/2025 |
| Token No | SM/25-26/8562 25/09/2025 | Serial | 067 |
| Patient Name | Mr. MUNNA KUMAR | Contact No | 9504993677 |
| Address | 30/27 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 23 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||