Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10190 | Date 17/11/2025 |
| Token No | SM/25-26/10582 17/11/2025 | Serial | 057 |
| Patient Name | Mr. ANIL SINGH | Contact No | 9681052352 |
| Address | 55/A GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 41 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||