Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08184 | Date 11/11/2024 |
| Token No | SM/24-25/35474 10/02/2025 | Serial | 045 |
| Patient Name | Mr. PREM KUMAR GIRI | Contact No | 9831072648 |
| Address | 190 NEW MAHESH SERAMPORE 712203 | Age | 25 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||