Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01536 | Date 30/04/2020 |
| Token No | SM/25-26/22620 26/10/2026 | Serial | 010 |
| Patient Name | Mr. AKHIL SAHA | Contact No | 8981316998 |
| Address | 4/A TARAPUKUR COLONY SERAMPORE 712203 | Age | 56 Years,9 Months,24 Days Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||