Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05944 | Date 27/12/2023 |
| Token No | SM/25-26/9028 13/10/2025 | Serial | 031 |
| Patient Name | Mr. MANIK CHANDRA ADITYA | Contact No | 9831920023 |
| Address | 43/33/B PRAVASHNAGAR SERAMPORE 712249 | Age | 71 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 116/75 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||