Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00904 | Date 08/02/2020 |
| Token No | SM/25-26/8243 20/09/2025 | Serial | 001 |
| Patient Name | Mr. DIPANKAR NAG | Contact No | 8240714442 |
| Address | 30/66 TARAPUKUR COLONY SERAMPORE 712203 | Age | 45 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||