Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08535 | Date 11/01/2025 |
| Token No | SM/24-25/34046 11/01/2025 | Serial | 042 |
| Patient Name | Mr. SURESH RAM | Contact No | 9903125823 |
| Address | 43/D PRAVASHNAGAR SERAMPORE 712249 | Age | 41 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||