Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 05772 | Date 01/12/2023 |
| Token No | SM/25-26/11078 27/11/2025 | Serial | 031 |
| Patient Name | Mr. BISHNUKANTA JHA | Contact No | 9883363449 |
| Address | 37 KHATIR BAZAR LANE SERAMPORE 712248 | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 85 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||