Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06487 | Date 28/03/2024 |
| Token No | SM/25-26/9294 16/10/2025 | Serial | 094 |
| Patient Name | Mr. BISWAJIT DUTTA GUPTA | Contact No | 7718777170 |
| Address | 105-X TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 43 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 84 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||