Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05279 | Date 28/09/2023 |
| Token No | SM/25-26/9624 29/10/2025 | Serial | 017 |
| Patient Name | Mr. BISWAJIT ADITYA | Contact No | 9330909986 |
| Address | 43/33A GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 42 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||