Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10096 | Date 24/10/2025 |
| Token No | SM/25-26/9508 24/10/2025 | Serial | 034 |
| Patient Name | Mr. BISWAJIT KAR | Contact No | 7468803040 |
| Address | 53 K M BHATTACHARYA STREET SERAMPORE 712202 | Age | 27 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||