Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09774 | Date 18/08/2025 |
| Token No | SM/25-26/10481 15/11/2025 | Serial | 060 |
| Patient Name | Mr. ARAVINDA KUMAR | Contact No | 8777089054 |
| Address | 1/E RAILAND ROAD SERAMPORE MAHESH 1 712202 | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||