Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10317 | Date 20/12/2025 |
| Token No | SM/25-26/12369 26/12/2025 | Serial | 005 |
| Patient Name | Mr. TARUN SINGHA | Contact No | 7596923407 |
| Address | 24/A/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 47 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||