Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10082 | Date 17/10/2025 |
| Token No | SM/25-26/9353 17/10/2025 | Serial | 055 |
| Patient Name | Mr. SUBRATA SAHA | Contact No | |
| Address | SERAMPORE | Age | 46 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||