Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01976 | Date 21/06/2022 |
| Token No | SM/25-26/9564 25/10/2025 | Serial | 030 |
| Patient Name | Mr. KRISHNA KUMAR SHAW | Contact No | 9088071848 |
| Address | 2 NO SERAMPORE COLONY MALLICKPARA SERAMPORE 712203 | Age | 64 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 119/66 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||