Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09803 | Date 25/08/2025 |
| Token No | SM/25-26/6800 25/08/2025 | Serial | 034 |
| Patient Name | Mr. SUBHOJIT DAS | Contact No | 9748546366 |
| Address | 30/60/A TARAPUKUR COLONY SERAMPORE 712203 | Age | 34 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||