Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 09520 | Date 03/07/2023 |
| Token No | SM/25-26/3078 22/12/2025 | Serial | 016 |
| Patient Name | Mr. BASUDEB PAL | Contact No | 8777807058 |
| Address | SHIBTALA LANE | Age | 66 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||