Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06659 | Date 29/04/2024 |
| Token No | SM/25-26/12391 27/12/2025 | Serial | 011 |
| Patient Name | Mr. SHAMBHU RAJBHAR | Contact No | 9836797006 |
| Address | 97/T PRAVASHNAGAR SERAMPORE 712249 | Age | 35 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||