Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05323 | Date 03/10/2023 |
| Token No | SM/25-26/10405 14/11/2025 | Serial | 017 |
| Patient Name | Mr. MAHESH KUMAR RAJAK | Contact No | 8820709667 |
| Address | 97/H/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 51 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||