Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08994 | Date 29/03/2025 |
| Token No | SM/24-25/37638 29/03/2025 | Serial | 035 |
| Patient Name | Mr. MUKESH PASWAN | Contact No | 9038650369 |
| Address | 30/66 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 45 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||