Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11425 | Date 20/04/2024 |
| Token No | SM/25-26/1799 30/08/2025 | Serial | 007 |
| Patient Name | Mr. RABINDRANATH KUNDU | Contact No | 9874757974 |
| Address | 584 G.T. ROAD, MANIKTALA, SERAMPORE | Age | 64 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||