Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 08843 | Date 06/03/2025 |
| Token No | SM/24-25/36517 06/03/2025 | Serial | 123 |
| Patient Name | Mr. CHOTON SARKAR | Contact No | 7595932566 |
| Address | 1/287 MAHESH COLONY SERAMPORE 712202 | Age | 35 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||