Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08234 | Date 20/11/2024 |
| Token No | SM/25-26/908 21/04/2025 | Serial | 003 |
| Patient Name | Mr. SUBHAS CHAKRABORTY | Contact No | 8017130675 |
| Address | 43/17 PRAVASHNAGAR SERAMPORE 712249 | Age | 57 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||