Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08972 | Date 26/03/2025 |
| Token No | SM/24-25/37480 26/03/2025 | Serial | 058 |
| Patient Name | Mr. BIKASH SAHANI | Contact No | 8820578772 |
| Address | 9437E/3 PRAVASHNAGAR SERAMPORE 712249 | Age | 33 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||