Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08961 | Date 26/03/2025 |
| Token No | SM/24-25/37424 26/03/2025 | Serial | 002 |
| Patient Name | Mr. KESHAW SHAW | Contact No | 9681883766 |
| Address | 43/46/F/1/A PRAVASNAGAR SERAMPORE 712249 | Age | 53 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||