Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 05974 | Date 30/12/2023 |
| Token No | SM/24-25/36281 01/03/2025 | Serial | 030 |
| Patient Name | Mr. BIJAY KUMAR BANIK | Contact No | 9874515904 |
| Address | 31 B L C MILLS ROAD MAHESH SERAMPORE 712202 | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||