Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06337 | Date 22/02/2024 |
| Token No | SM/25-26/9520 24/10/2025 | Serial | 046 |
| Patient Name | Mr. ALOK MAITRA | Contact No | 6289324427 |
| Address | B/103/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 78 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||