Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 10178 | Date 15/11/2025 |
| Token No | SM/25-26/10484 15/11/2025 | Serial | 063 |
| Patient Name | Mr. NEERAJ KUMAR SINGH | Contact No | 9852822368 |
| Address | 13/25 B B GHOSH ROAD SERAMPORE 712203 | Age | 38 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||