Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13408 | Date 22/08/2025 |
| Token No | SM/25-26/1726 22/08/2025 | Serial | 002 |
| Patient Name | Mr. SUVENDU PANJA | Contact No | 7602909342 |
| Address | 6 A B GARDEN LANE,SERAMPORE | Age | 37 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||