Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09191 | Date 30/04/2025 |
| Token No | SM/25-26/1380 30/04/2025 | Serial | 005 |
| Patient Name | Mr. NAGENDRA KUMAR BISWAS | Contact No | |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 90 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||