Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08854 | Date 08/03/2025 |
| Token No | SM/24-25/36648 08/03/2025 | Serial | 058 |
| Patient Name | Mr. SANJAY KUMAR SANTRA | Contact No | 6290906897 |
| Address | BARA BELU BELUMILKI HOOGHLY 712223 | Age | 36 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||