Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05208 | Date 22/09/2023 |
| Token No | SM/25-26/9878 03/11/2025 | Serial | 051 |
| Patient Name | Mr. AMALENDU PAL | Contact No | 8981349328 |
| Address | 2/C TARA PUKUR COLONY SERAMPORE 712203 | Age | 28 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||