Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00820 | Date 28/01/2020 |
| Token No | SM/25-26/5696 02/08/2025 | Serial | 010 |
| Patient Name | Mr. ARUN NAG | Contact No | 7449911910 |
| Address | 30/66 TARAPUKUR LANE SERAMPORE 712203 | Age | 64 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||