Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10318 | Date 20/12/2025 |
| Token No | SM/25-26/12187 20/12/2025 | Serial | 027 |
| Patient Name | Mr. BIJAY BAHADUR MISHRA | Contact No | 7890345254 |
| Address | 37/2/C GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 63 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||