Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13849 | Date 11/12/2025 |
| Token No | SM/25-26/2956 11/12/2025 | Serial | 004 |
| Patient Name | Mr. SWAPAN PRAMANIK | Contact No | 9831759083 |
| Address | 133 INDIRA GANDHI ROAD KONNAGAR | Age | 51 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||