Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04394 | Date 30/06/2023 |
| Token No | SM/25-26/12107 18/12/2025 | Serial | 020 |
| Patient Name | Mr. RATAN DAS | Contact No | 9674306826 |
| Address | GHORAMARA P PURBAPARA SERAMPORE 712203 | Age | 67 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||