Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06730 | Date 06/05/2024 |
| Token No | SM/25-26/11333 01/12/2025 | Serial | 061 |
| Patient Name | Mr. SANJAY NATH SHARMA | Contact No | 8100973005 |
| Address | 210/A RAJYADHARPUR GOVT COLONY MALLICKPARA SERAMPORE 712203 | Age | 41 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 80/40 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||