Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06543 | Date 08/04/2024 |
| Token No | SM/25-26/9407 21/10/2025 | Serial | 016 |
| Patient Name | Mr. GURUPADA SARKAR | Contact No | 9007793607 |
| Address | 43/40 PRAVASHNAGAR SERAMPORE 712249 | Age | 57 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||